PB Coder

Rush University Medical Center; Chicago (IL); On-site; USD 37,842 - 59,608; Full time

Job summary

A major medical institution in Chicago is seeking a PB Coder to oversee the billing and coding process for physicians. This role requires three years of medical billing experience and certification through AAPC or AHIMA. Responsibilities include coordinating charge capture, assigning appropriate coding, and ensuring compliance with guidelines. The ideal candidate has strong communication, organization, and problem-solving skills, with a valid coding certification being essential for consideration. Full-time position offers competitive pay based on experience.

Qualifications

• Three years’ experience in medical billing with current coding knowledge.
• Experience with Medicare and Medicaid regulations.
• Ability to act independently in coding and billing tasks.

Responsibilities

• Coordinate charge capture for outpatient and inpatient services.
• Assign appropriate coding per CMS guidelines.
• Review documentation for coding accuracy.
• Correct claim errors relating to coding.

Skills

ICD-9 coding

ICD-10 coding

CPT coding

Medical billing experience

Strong communication skills

Organization skills

Critical thinking

Problem solving

Ability to multi-task

Education

Coding Certification through AAPC or AHIMA

Associate or Bachelor’s Degree (preferred)

Job description

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.

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-9, and ICD-10, and CPT 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.

Required Qualifications

• Three years’ experience in medical billing setting with active, practical experience with ICD-9, ICD-10 and CPT coding.
• Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement.
• Coding Certification thru AAPC or AHIMA.
• RHIA/RHIT pending eligible.
• 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 Qualifications

• Associate or Bachelor’s Degree.

Responsibilities

1. Coordinate outpatient and inpatient physician and/or facility charge capture.
2. Responsible for abstracting and interpreting medical record data to assign appropriate CPT, ICD-9 and ICD-10 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 CME 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.

Position: PB Coder

Location: US:IL:Chicago

Req ID: 25780