Sr Compliance Coding Analyst

Rush University Medical Center; Chicago (IL); On-site; USD 48,216 - 79,900; Full time

Job summary

Rush University Medical Center in Chicago, IL seeks a senior coding auditor within the Medical Records department. This role monitors coding quality, provides education to physicians and staff, and prepares reports for administration and the Compliance Council.

It requires RHIA/RHIT/CCS certification and 5 years of coding experience, with strong communication skills. The position is full-time, on-site in the Medical Records unit.

Qualifications

• High School Diploma or GED.
• Coding Certification required (RHIA, RHIT and/or CCS).
• 3–5 years of senior level coding audit experience or five years coding experience.
• Ability to interpret and analyze electronic medical records, ancillary reports and third party payer guidelines.
• Proficiency in Microsoft Office Applications.
• Excellent verbal and written communication skills.
• Experience with hospital billing systems.
• Ability to communicate effectively with physicians and hospital department leadership.

Responsibilities

• Design and perform chart reviews, test appropriateness of billing and documentation.
• Prepare and present reports of findings with recommendations for corrective action as needed.
• Identify and prioritize risk issues, working as a team on projects.
• Monitor the Medical Center's compliance with governmental regulations through the performance of recurring compliance reviews.
• Research government billing regulations, third party payer guidelines and prospective payment system, ICD-9-CM, CPT/HCPCS coding guidelines.
• Maintain an understanding of regulatory issues through seminars, training courses and regulatory literature.
• Assist with the development of the annual departmental work plan.
• Design and implement individualized documentation and coding improvement activities for physicians and administrators.
• Act as a resource and an educator on documentation improvement projects.
• Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns.
• Facilitate compliance initiatives through education, newsletters and training sessions.
• Assist in the development, coordination and maintenance of all elements of the Compliance Education Program.
• Assist in updates to Compliance manuals and websites.
• Other duties and projects as assigned.

Skills

Verbal and written communication

Microsoft Office

Interpret EMRs

Hospital billing systems

Education

RHIA/RHIT/CCS certification

Bachelor's degree in Health Information Management or related field (preferred)

Tools

Microsoft Office Applications

Job description

Job Description

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Medical Records

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

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

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

Pay Range: $34.89 - $56.78 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 continuous monitoring of the coding quality performed by staff both within and external to the Health Information Management Department. Provides educational programs to both physicians and coding personnel to improve coding quality. Prepares various reports for administration and the Compliance Council. Represents Health Information Management and RUMC at forums that are internal and external to the medical center. Maintains a demeanor and appearance appropriate for representation of RUMC. Exemplifies the Rush mission, vision and values, and acts in accordance with Rush policies and procedures.

Required Job Qualifications

• High School Diploma or GED
• Coding Certification required, e.g., RHIA, RHIT and/or CCS.
• Three to five years of senior level coding audit experience or five years of coding experience.
• Ability to interpret and analyze electronic medical records, ancillary reports and third party payer guidelines.
• Proficiency in Microsoft Office Applications.
• Excellent verbal and written communication skills.
• Experience with hospital billing systems.
• Ability to communicate effectively with physicians and hospital department leadership.

Preferred Job Qualifications

• Bachelor's degree in Health Information Technology, Healthcare Administration, Nursing or related field.
• RHIA/RHIT.

Disclaimer

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities

1. Design and perform chart reviews, test appropriateness of billing and documentation.
2. Prepare and present reports of findings with recommendations for corrective action as needed.
3. Identify and prioritize risk issues, working as a team on projects.
4. Monitor the Medical Center's compliance with governmental regulations through the performance of recurring compliance reviews.
5. Research government billing regulations, third party payer guidelines and prospective payment system, ICD-9-CM, CPT/HCPCS coding guidelines.
6. Maintain an understanding of regulatory issues through seminars, training courses and regulatory literature.
7. Assist with the development of the annual departmental work plan.
8. Design and implement individualized documentation and coding improvement activities for physicians and administrators.
9. Act as a resource and an educator on documentation improvement projects.
10. Serve as the internal liaison for Rush University Medical Center for coding and compliance questions and concerns.
11. Facilitate compliance initiatives through education, newsletters and training sessions.
12. Assist in the development, coordination and maintenance of all elements of the Compliance Education Program.
13. Assist in updates to Compliance manuals and websites.
14. Other duties and projects as assigned.

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.