What are the responsibilities and job description for the Coder - Denials Specialist position at RUSH Health?
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: PB Revenue Integrity
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: $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. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
Preferred Job Qualifications:
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.
Salary : $27 - $43