Certified Coding Specialist
3 weeks ago
Hours: Monday through Friday, 7am-5pm
Location: Remote
Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.
Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark
Holistic benefits designed to help our team members flourish in all aspects of their lives, including:
Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
$5,250 Tuition Reimbursement per year.
40 hours paid volunteer time off.
12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members.
401(k) Match
Profit-sharing program
Responsibilities:
Analyzes procedural and operative records to identify and independently assign accurate ICD-10, CPT and HCPCS codes following policies/procedures established by DMGAbstracts pertinent information into the billing system accurately and timely.
Effectively utilize coding tools and related materials to investigate coding issues and produce accurate results
Maintains compliance with Federal, State and Payer regulations.
Assist with payer denials, patient questions related to coding issues, and makes decisions on whether to appeal claims for payment.Understands Medicare billing rules (i.e. LC/NC, CCI, Medical Necessity, and ABN) and communicates this information to staff, management and physicians.
Monitors services performed to assure all patient visit encounters are capturedUtilize charge capture reports to ensure submission count.
Specialty subject matter expect for BPO based coders
Other RCM duties and projects based on operational needs
Qualifications:
MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES:
Excellent communication skills required.
EPIC software preferred or familiar with other EMR software required.
Strong working knowledge of physician coding rules and guidelines
Knowledge of insurance guidelines to maximize coding reimbursement
Ability to interpret, analyze, and abstract data/documentation
Detail oriented, initiative taking individual with good problem solving skills, effective communication skills, and positive attitude
Ability to travel to Duly sites as needed
Ability to adapt to continuously changing environment
License / Registration / Certification
Must be certified in at least 1 of the following: Certified Professional Coder (CPC), Registered Health Information Administration (RHIA), Registered Health Information Technologist (RHIT), or Certified Coding Specialist (CCS).
Level of Education
High School diploma required.
Associate’s degree preferred, or 2 years experience equivalent
Years of Experience
Minimum of 2 - 5 years experience in healthcare coding and billing
-
Claims Coding Specialist
2 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob Description: Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (CCS) in our Revenue Cycle - Revenue Integrity Department. This is a hybrid/flexible remote position and may require some on site requirement as needed. The office location is at the UChicago Medicine main campus in Hyde Park, IL. Hybrid...
-
Claims Coding Specialist
2 weeks ago
Chicago, Illinois, United States The University of Chicago Medicine Full timeJob Description: Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (CCS) in our Revenue Cycle - Revenue Integrity Department. This is a hybrid/flexible remote position and may require some on site requirement as needed. The office location is at the UChicago Medicine main campus in Hyde Park, IL. This role will...
-
Utilization Specialist, PRN
3 weeks ago
Downers Grove, Illinois, United States Duly Health and Care Full timeOverview: Utilization Management Specialist, Non-RN PRN Hours - Day/Afternoon; Must be willing to work 1-2 days per week and assist in covering vacations during winter/summer break. Remote 75% - Will require working on-site (Downers Grove) on occasion for meetings, trainings, and to assist in rotating schedule. The Utilization Management Specialist is...
-
Healthcare Coding Associate
1 week ago
Springfield, Illinois, United States Memorial Health Full timeOverview: The Healthcare Coding Associate will code outpatient diagnostic medical records utilizing ICD-9-CM, ICD-10-CM and CPT coding conventions. Employee will audit medical records to ensure specificity of diagnoses and procedures, to ensure appropriate and optimal third party reimbursement. The coder will apply the appropriate diagnostic and...
-
Coding Specialist II, Full Time, Days
3 weeks ago
Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob Description The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB Coding Specialist II performs Current Procedural Terminology...
-
Medical Claim Review Nurse
6 days ago
Downers Grove, United States Molina Healthcare Full timeThis is a remote based position and you can work from home. Must work in the USA. COMPACT or MULTI STATE LICENSURE is very helpful to have for this role. Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal...
-
Utilization Specialist, PRN
2 weeks ago
Downers Grove, United States Dupage Medical Group Full timeOverview Utilization Management Specialist, Non-RN * PRN * Hours - Day/Afternoon; Must be willing to work 1-2 days per week and assist in covering vacations during winter/summer break. * Remote 75% - Will require working on-site (Downers Grove) on occasion for meetings, trainings, and to assist in rotating schedule. The Utilization Management Specialist...
-
Chicago, Illinois, United States Northwestern Memorial Healthcare Full timeJob Description The Coding Specialist I reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Specialist I performs Current Procedural Terminology (CPT) and...
-
RCM Vendor Management Backend Specialist
3 days ago
Downers Grove, United States Duly Healthcare Full timeOverviewHours: Monday through Friday, 8am-5pmLocation: Downers Grove, IL (Hybrid)Good enough isnt for us. Duly Health and Cares team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.Duly Health and Care works to understand what matters most to you. We recruit...
-
BPO Vendor Mgt Specialist
1 week ago
Downers Grove, Illinois, United States Duly Health and Care Full timeOverview: Hours: Monday through Friday, 8am-5pm Location: Downers Grove, IL (Hybrid) Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to...
-
Vendor Mgr, Authorization Mgt
3 weeks ago
Downers Grove, Illinois, United States Duly Health and Care Full timeOverview: Hours: Monday through Friday, 8am-5pm Location: Downers Grove, IL (Hybrid) Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to...
-
Vendor Mgr, Registration
3 weeks ago
Downers Grove, Illinois, United States Duly Health and Care Full timeOverview: Hours: Monday through Friday, 8am-5pm Location: Remote Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We recruit and...
-
Utilization Management Coordinator
1 week ago
Downers Grove, United States Duly Healthcare Full timeOverview Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride...
-
Utilization Management Coordinator
3 weeks ago
Downers Grove, United States Duly Health and Care Full timeOverview Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for...
-
Internal Medicine Specialist
2 weeks ago
BUFFALO GROVE, United States veterinary specialty center Full timeWe are one of the few private practices that offer Hemodialysis and Plasmapheresis and we are looking for an additional Internist to join our expanding department. Join our collaborative team of residency-trained and board-certified specialists and e Medicine, Specialist, Patient, Technician, Animal Care, Healthcare, Doctor, Animal
-
Principal Designer Piping
3 weeks ago
Downers Grove, United States Zachry Group Full timeRESPONSIBILITIES Complete advanced/complex Piping Design and Equipment Layouts in accordance with Industry Practices using D CAD & D ED Software and/or other D Design software Ability to write execution plans for large caps and high complexity projects. Ability to create detailed project schedules and review schedules for multi-discipline...
-
Certified Surgical Tech-Full Time Days
3 weeks ago
Huntley, Illinois, United States Northwestern Memorial Healthcare Full timeJob Description The Certified Surgical Tech reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. This role is a clinically competent Certified Surgical Technologist...
-
Certified Medical Assistant Float
2 weeks ago
Moline, Illinois, United States UnityPoint Health Full timeOverview: $5,000 Sign-On Bonus for External Candidates UnityPoint Clinics Float between clinics Quad Cities M-F 8a-5pm Assist provider and other clinical staff with obtaining basic vital information preparing patient for examination, treatment and minor surgical procedures. Responsible for tracking system for follow-up appointments related to...
-
Client Care Specialist
2 weeks ago
Maryville, Illinois, United States Chestnut Health Systems Full timeOverview: Share your recovery journey for the benefit of others. Experience the satisfaction of helping to facilitate self-directed recovery. Part-time Client Care Specialist position to work every Saturday and Sunday from 7:00am to 3:30pm. Position will be based in Maryville, IL in our Men’s Residential Unit. Evening, overnight, and weekend shifts are...
-
Client Care Specialist
3 weeks ago
Maryville, Illinois, United States Chestnut Health Systems Full timeOverview: Share your recovery journey for the benefit of others. Experience the satisfaction of helping to facilitate self-directed recovery. Full-time Client Care Specialist position to work Monday through Friday from 7:00am to 3:30pm. Position will be based in Maryville, IL in our Men’s Residential Unit. Responsibilities: Provide consumer-driven...