Inpatient Reimbursement Coding Specialist - UI Health, Health Information Management

Inpatient Reimbursement Coding Specialist

The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity.

UI Health is seeking an experienced Inpatient Reimbursement Coding Specialist to join our Health Information Management team. This Inpatient Reimbursement Coding Specialist applies ICD-10-CM and ICD-10-PC codes and POA indicators to Inpatient hospital accounts. The position requires knowledge of sequencing, diagnosis, and procedures according to coding guidelines for complex accounts to assign the correct DRG or APR-DRG. Also, this position requires the ability to collaborate with a Clinical Documentation Specialist (CDS) to ensure accurate documentation and coding on accounts.

Duties & Responsibilities:

• Ability to sequence and assign ICD-10-CM/PCS diagnosis and procedure codes to complex inpatient visits by following the coding guidelines.
• Proficient in interpreting medical documentation to determine the principal diagnosis and procedures codes and to assign the correct Present on Admission (POA) indicator to all codes
• Assigns the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to coding guidelines for sequencing.
• Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts.
• Ability to utilize the Computer Assistant Coding (CAC) software to review medical documentation and select codes for billing and reporting purposes.
• Analyze and resolve coding denials from insurances companies and patient accounts.
• Follows internal workflows for accounts that has documentation or other errors that has to be resolved before coding.
• Follows the official ICD-10-CM, ICD-10-PC guidelines for coding and reporting.
• Keeps up to date on coding changes and other changes to regulations that governs medical record coding and documentation.
• Ability to maintain the national standards for coding accuracy and internal standards for productivity
• Maintains continuing education hours as dictated by certification standards.
• Maintains confidentiality of patient health information
• Perform other related duties and participate in special projects as assigned.

Minimum Qualifications Required:

1. High school diploma or equivalent.
2. Current certification as a Certified Coding Specialist (CCS) or Certified Coding SpecialistPhysician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA), or current certification as a Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification).
3. One (1) year/twelve (12) months of work experience comparable to that performed at the Reimbursement Coding Representative level of this series or in other positions of comparable responsibility.

Preferred Qualifications:

• At least 2 years of experience coding Inpatient accounts at an acute care preferably academic hospital that has a complex case mix index (CMI) with medical services such as transplant, neurosurgery, oncology, vascular surgery and cardiology.
• Also the candidate must be able to collaborate with Clinical Documentation Specialist to assist with clarification of documentation for complete and accurate coding.
• Certified Coding Specialist (CCS)

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. The university provides accommodations to applicants and employees. Request an Accommodation

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

University of Illinois Hospital and Health Sciences System