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Coder

Rush University Medical Center

This is a Contract position in Chicago, IL posted July 22, 2019.

Job Title: Coder Department: PB Revenue Integrity Shift: 1st Specialty: Job Number: 2019-0218 Date Posted: 07/11/2019 Position Type: Finance/Accounting Job Qualifications: Coder Position Highlights: Reporting to the coding manager, the medical coder is responsible for review clinical documentation to abstract and/or validate CPT and ICD-10 coding for inpatient and outpatient professional services.

The coder will ensure that medical records are coded in an accurate and timely manner as well as work closely with physicians and APPs to consistently and accurately translate clinical documentation and medical records into ICD-9 and CPT codes.

Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.

Position Responsibilities: Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.

Provides coding feedback to providers, clinical department leadership, and revenue cycle team Assist coding educators with education regarding documentation improvement Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans Assists with design and implementation of workflow updates and coding tools Support denial team on coding related denials Special projects as assigned Position Qualifications Include: Certified Professional Coder (CPC) or Certified Coding Specialist
– Physician Based (CCS-P) required; Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications preferred.

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent upon CPC or CCS-P certification being acquired within the first 6 months of employment.

A minimum of three (2) years of coding experience, Prior experience in an academic institution preferred Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment by passing a department administered coding proficiency test.

Demonstrates commitment to continuous learning and performs as a role model to other coding staff.

Experience working in a Teaching Hospital setting preferred.

Strong communication and organizational skills Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory a plus Company Highlights: Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career.

Everything we do centers on one goal: improving patient care.

Rush is an academic health system comprising Rush University Medical Center, Rush Copley Medical Center and Rush Oak Park Hospital.

Leading academic medical center, acute care hospital w/ 664 licensed beds.

Ranked among the top 20 best places to work in healthcare by Indeed.

Rush is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Coder Position Highlights: Reporting to the coding manager, the medical coder is responsible for review clinical documentation to abstract and/or validate CPT and ICD-10 coding for inpatient and outpatient professional services.

The coder will ensure that medical records are coded in an accurate and timely manner as well as work closely with physicians and APPs to consistently and accurately translate clinical documentation and medical records into ICD-9 and CPT codes.

Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.

Position Responsibilities: Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.

Provides coding feedback to providers, clinical department leadership, and revenue cycle team Assist coding educators with education regarding documentation improvement Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans Assists with design and implementation of workflow updates and coding tools Support denial team on coding related denials Special projects as assigned Position Qualifications Include: Certified Professional Coder (CPC) or Certified Coding Specialist
– Physician Based (CCS-P) required; Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications preferred.

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent upon CPC or CCS-P certification being acquired within the first 6 months of employment.

A minimum of three (2) years of coding experience, Prior experience in an academic institution preferred Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment by passing a department administered coding proficiency test.

Demonstrates commitment to continuous learning and performs as a role model to other coding staff.

Experience working in a Teaching Hospital setting preferred.

Strong communication and organizational skills Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory a plus Company Highlights: Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career.

Everything we do centers on one goal: improving patient care.

Rush is an academic health system comprising Rush University Medical Center, Rush Copley Medical Center and Rush Oak Park Hospital.

Leading academic medical center, acute care hospital w/ 664 licensed beds.

Ranked among the top 20 best places to work in healthcare by Indeed.

Rush is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.