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Description
The primary purpose of this position is to assign ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient services by reviewing medical records documentation for those services provided by a physician or other qualified healthcare professionals.
Examples of Duties
Coding and Reimbursement - 90%
1) Review documentation and assign diagnosis and procedure codes for ancillary and other physician services using standardized coding systems such as ICD-10-CM, CPT, and HCPCS.
2) Review records for accuracy in the usage and / or assignment of modifiers for Evaluation and Management services along with any procedure modifiers as applicable.
3) Respond to requests from Patient Business Services for assistance in correction of claim information in regard to coding, dates of service, place of service, provider information, etc.
This assistance is also inclusive of writing appeal letters that would be submitted to insurance for reconsideration of a denied claim.
4) Provide expert advice and guidance to administrators, faculty, and staff as it relates to coding and documentation along with any third party payer regulations.
5) Assist other coding staff in the unit to provide coverage as needed and assist in training other coders when requested.
Miscellaneous - 10%
1) Other duties assigned.
Qualifications
Supplemental Information
If you require assistance, please contact the Office of Human Resources at or call 217-545-0223 Monday through Friday, 8 : 00am-4 : 30pm.
The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.
The SIU School of Medicine Annual Security Report is available online at . This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL.
This report is published in compliance with Federal Law titled the
Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."
Southern Illinois University School of Medicine is an Affirmative Action / Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.
Pre-employment background screenings required.
Last updated : 2024-05-14
Full Time
$47k-59k (estimate)
04/29/2024
08/13/2024
The job skills required for Reimbursement specialist include CPT, etc. Having related job skills and expertise will give you an advantage when applying to be a Reimbursement specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Reimbursement specialist. Select any job title you are interested in and start to search job requirements.
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Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Reimbursement Specialist job description and responsibilities
Reimbursement specialists utilize reference materials and medical coding knowledge to address claims.
04/22/2022: Frankfort, KY
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Reimbursement Specialist jobs
The career path for a reimbursement specialist starts by first obtaining a high school diploma or GED.
05/26/2022: Boca Raton, FL
Educational prerequisites for reimbursement specialists vary, from a minimum of a high school diploma to a bachelor’s degree.
04/27/2022: New York, NY
Step 3: View the best colleges and universities for Reimbursement Specialist.