PB Coder

DaMar Staffing; Chicago (IL); On-site; USD 57,000 - 90,000; Full time

Job summary

Rush University Medical Center is hiring for a billing and coding professional responsible for overseeing the charge capture process for physicians. The role entails coding with ICD-10-CM, CPT, and HCPCS, ensuring compliance with CMS guidelines, and reconciling charge tickets.

Collaboration with Rush Departments and physicians is required to maintain accurate billing practices. The ideal candidate has three years of medical billing experience, coding certification (AAPC/AHIMA), and strong

Qualifications

• Three years' experience in medical billing setting with active, practical experience with ICD-10-CM, CPT, and HCPCS coding.

Responsibilities

• Coordinate outpatient physician charge capture.
• Abstract and interpret medical record data to assign ICD-10-CM, CPT, and HCPCS codes per CMS guidelines and regulations.
• Review physician documentation of evaluation and management coding for accuracy and compliance in billing codes.
• Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator.
• Correct any claim errors relating to coding.
• Resolve coding denials.
• Educate providers and staff on proper workflows and coding practices per regulations.
• Attend training sessions on current coding practices to stay up to date on physician billing.

Skills

Medical Billing

ICD-10-CM

CPT

HCPCS

CMS Regulations

AAPC CPC

AHIMA CCS

Education

Associate or Bachelor’s Degree

Job description

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: PB Revenue Integrity

Work Type: Full Time (Total FTE 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Pay Range: $27.47 - $43.27 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

• Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Summary

This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-10-CM, CPT, HCPCS codes, correct use of modifier linkage, and ensuring correct coding and billing government guidelines are followed. In addition, this individual will play a pivotal contact role with other Rush Departments and physicians to ensure compliance with Rush billing protocols. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Other information

Required Job Qualifications

• Three years' experience in medical billing setting with active, practical experience with ICD-10-CM, CPT, and HCPS coding.
• Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement.
• Coding Certification through AAPC (CPC, COC, CRC), or AHIMA (CCS-P, CCS)
• Ability to act independently, as necessary in coding, analyzing, reconciling, and updating billing activity.
• Strong communication, organization, critical thinking and problem solving skills.
• Ability to multi-task.
• Conscientious work habits, initiative, and dependability.

Preferred Job Qualifications

• Associate or Bachelor's Degree.

Responsibilities

1. Coordinate outpatient physician charge capture.
2. Responsible for abstracting and interpreting medical record data to assign appropriate ICD-10-CM, CPT, and HCPCS codes per CMS guidelines and regulations pertaining to coding and billing.
3. Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in billing codes.
4. Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator and maintain follow-up binder system to facilitate complete charge capture.
5. Correct any claim errors relating to coding on charges entered into the work queues.
6. Responsible for working and resolving coding denials.
7. Provide education to providers and staff regarding proper workflows and correct coding and documentation practices per state and federal regulations.
8. Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
9. Must maintain necessary CEU required by AAPC or AHIMA

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.