Coding Specialist & Educator - JR28716-3800 - The University of Chicago
Burr Ridge, IL
About the Job
This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12465660 Department
BSD UCP - Vendors - EMR
About the Department
The University of Chicago Physician's Group (UCPG) is the central
organization that supports the clinical activity of approximately 1,000
employed and community-based physicians under the University of Chicago.
The clinically active faculty collectively form the University of
Chicago Physicians Group (UCPG). UCPG provides the physician revenue
cycle management for the medical services provided by these physicians.
Job Summary
The job provides professional support and solves straightforward
problems in projects related to revenue cycle operations, including
activities related to charging, billing, and collecting. Coordinates the
management of successful billing and compliance activities with
department managerial and executive staff.
University of Chicago Physicians Group (UCPG) is seeking a Coding
Specialist & Educator to assure that UCPG achieves the objective of CMS
coding guidelines and adheres to the compliance program of the Medical
Center. This person acts as a liaison between facilities, departments,
providers and staff that use coded information and works with clinicians
and health information management professionals to increase coding
accuracy and appropriately depict the quality of care delivered.
The qualified individual will work to achieve overall revenue cycle
expectations that comply with larger UCPG organizational goals and
Compliance Department expectations, as well as utilize project and
people management skills, clinical practice knowledge, and an
understanding of documentation and coding requirements to support
improvement in practice processes and compliance.
The Coding Specialist & Educator provides support to providers and
clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a
liaison between the off-sites and departments and related educational
activities around coding, billing and compliance.
Responsibilities
- The Coding Educator is responsible for conducting coding and billing
training to physicians, coders, and other interested personnel,
including developing the training materials, and assessing
competency.
- Performs quality assurance reviews/audits with appropriate feedback.
- Monitors coding and billing regulations to assure compliance with
governmental and payer regulations.
- Works all coding related denials and acts as a resource to staff
regarding coding issues and coding denials.
- The Educator reviews coding performance, oversees day-to-day
practice operations that involve CPT or ICD10 coding questions and
workflow issues, and leads related staff and provider education for
professional services coding of both in and outpatient services.
- Furnish ongoing coding education to physicians, administrators, and
staff, including creation of appropriate training materials.
- Maintain up-to-date resource library with current and appropriate
reference materials for the staff as well as maintain coding
credentials by attending classes, seminars, conferences, etc. Assist
Director as assigned to meet department goals.
- Assist with providing ongoing training and education to providers
and ancillary associates of CPT, ICD-10-CM, and HCPCs in accordance
with CMS Coding guidelines.
- Promote consistency and accuracy of coding and documentation
practices, and conducts independent chart reviews that verify the
correct assignment of diagnosis/procedure codes along with ensure
clinical services ordered and performed are properly.
- Investigate and analyze denial trends to identify root causes,
patterns, and inefficiencies.
- Use Excel or other software to analyze data and generate reports on
d nial rates.
- Detail-oriented with a strong focus on accuracy and compliance.
- Prioritizes chart documentation and maintaining requirements within
the department. Ensures all processes involved in accurately posting
professional fees.
- Has a moderate/solid understanding of coding procedures, workflow
issues, billing infrastructure, and performance of Clinical Revenue
staff. Informs department administrators, physicians, and
Coder/Abstractors of regulatory changes.
- Participates and may lead in training sessions, performing audits,
and promoting an understanding of procedures, policies, and
expectations in promotion of compliance efforts.
- Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related
field.
Work Experience:
Minimum requirements include knowledge and skills developed through 2-5
years of work experience in a related job discipline.
Certifications:
---
Preferred Qualifications
Experience:
Must have strong E/M coding experience and ability to explain coding
guidelines.
Four to five ye
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12465660 Department
BSD UCP - Vendors - EMR
About the Department
The University of Chicago Physician's Group (UCPG) is the central
organization that supports the clinical activity of approximately 1,000
employed and community-based physicians under the University of Chicago.
The clinically active faculty collectively form the University of
Chicago Physicians Group (UCPG). UCPG provides the physician revenue
cycle management for the medical services provided by these physicians.
Job Summary
The job provides professional support and solves straightforward
problems in projects related to revenue cycle operations, including
activities related to charging, billing, and collecting. Coordinates the
management of successful billing and compliance activities with
department managerial and executive staff.
University of Chicago Physicians Group (UCPG) is seeking a Coding
Specialist & Educator to assure that UCPG achieves the objective of CMS
coding guidelines and adheres to the compliance program of the Medical
Center. This person acts as a liaison between facilities, departments,
providers and staff that use coded information and works with clinicians
and health information management professionals to increase coding
accuracy and appropriately depict the quality of care delivered.
The qualified individual will work to achieve overall revenue cycle
expectations that comply with larger UCPG organizational goals and
Compliance Department expectations, as well as utilize project and
people management skills, clinical practice knowledge, and an
understanding of documentation and coding requirements to support
improvement in practice processes and compliance.
The Coding Specialist & Educator provides support to providers and
clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a
liaison between the off-sites and departments and related educational
activities around coding, billing and compliance.
Responsibilities
- The Coding Educator is responsible for conducting coding and billing
training to physicians, coders, and other interested personnel,
including developing the training materials, and assessing
competency.
- Performs quality assurance reviews/audits with appropriate feedback.
- Monitors coding and billing regulations to assure compliance with
governmental and payer regulations.
- Works all coding related denials and acts as a resource to staff
regarding coding issues and coding denials.
- The Educator reviews coding performance, oversees day-to-day
practice operations that involve CPT or ICD10 coding questions and
workflow issues, and leads related staff and provider education for
professional services coding of both in and outpatient services.
- Furnish ongoing coding education to physicians, administrators, and
staff, including creation of appropriate training materials.
- Maintain up-to-date resource library with current and appropriate
reference materials for the staff as well as maintain coding
credentials by attending classes, seminars, conferences, etc. Assist
Director as assigned to meet department goals.
- Assist with providing ongoing training and education to providers
and ancillary associates of CPT, ICD-10-CM, and HCPCs in accordance
with CMS Coding guidelines.
- Promote consistency and accuracy of coding and documentation
practices, and conducts independent chart reviews that verify the
correct assignment of diagnosis/procedure codes along with ensure
clinical services ordered and performed are properly.
- Investigate and analyze denial trends to identify root causes,
patterns, and inefficiencies.
- Use Excel or other software to analyze data and generate reports on
d nial rates.
- Detail-oriented with a strong focus on accuracy and compliance.
- Prioritizes chart documentation and maintaining requirements within
the department. Ensures all processes involved in accurately posting
professional fees.
- Has a moderate/solid understanding of coding procedures, workflow
issues, billing infrastructure, and performance of Clinical Revenue
staff. Informs department administrators, physicians, and
Coder/Abstractors of regulatory changes.
- Participates and may lead in training sessions, performing audits,
and promoting an understanding of procedures, policies, and
expectations in promotion of compliance efforts.
- Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related
field.
Work Experience:
Minimum requirements include knowledge and skills developed through 2-5
years of work experience in a related job discipline.
Certifications:
---
Preferred Qualifications
Experience:
Must have strong E/M coding experience and ability to explain coding
guidelines.
Four to five ye
Source : The University of Chicago