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    Specialist Projects Performance - Chicago, IL, United States - Shirley Ryan AbilityLab

    Shirley Ryan AbilityLab
    Shirley Ryan AbilityLab Chicago, IL, United States

    2 weeks ago

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    InternshipSHIP
    Description
    You'll work in a truly inclusive environment where diversity and equity are championed through words and actions.

    You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.

    The Coding Specialist is responsible for reviewing, identifying and coding for office services, hospital consults, and hospital surgeries utilizing appropriate CPT and ICD-10CM codes to support clinical operations and maintain compliance with regulatory bodies.

    The Coding Specialist will be trained in therapy coding and assist as needed with billing denials and workqueue assignments.

    The Coding Specialist – Physicians Practice will consistently demonstrate support of the SRAlab statement of Vision, Mission, and Core Values by striving for excellence, contributing to the team efforts, and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

    The Coding Specialist – Physicians Practice will demonstrate SR

    Alab Core Attributes:

    Reviews medical documentation and coding selected by providers for accuracy before and after claims are submitted to third-party organizations.

    Revises coding related to edits and/or denials in accordance with ICD-10 CM, CPT Professional and HCPCS procedure codes.

    Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, and CPT-4 procedural codes for UB-04/HCFA outpatient or facility claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, and regulations.

    Works with Patient Financial Services to review medical documentation and coding to remedy and/or support billing clarifications and questions by internal and external organizations or third parties.

    Assists management to identify trends and opportunities for improvement as it relates to coding and billing.

    Ensures information is captured, maintained, and handled according to hospital bylaws and standards established by regulatory and accreditation agencies.

    Remains current on topics, significant decisions, and technological advances affecting regulatory compliance, and coding through available resources and webinars.

    Assists in additional activities as requested by Corporate Compliance and Patient Financial Services.
    Reports to the Manager, Medical Records Coding.

    Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) OR Current Certified Professional Coder (CPC), or Certified Professional Coder – Apprentice (CPC-A) pending fulfillment of the 2-year experience (on-the-job coding) requirement.

    Will accept a combination of any of the 2 of the following in lieu of: - Proof of 80 contact hours of a medical coding preparation course, completion of CPC-A Practicode, - 1-year on the job experience.

    - Experience and knowledge of CPT, ICD-10-CM, modifiers, and HCPCS coding systems required for accurate assessment of CPT codes, and other assignments in hospital inpatient and outpatient settings.

    At least 2 years of recent hospital, ambulatory and/or physician coding and billing experience.
    Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
    Knowledge of insurance billing including Commercial, Medicare, Public Aid,
    Proficient in Microsoft products including EXCEL and WORD. Normal office environment with little or no exposure to dust or extreme temperature.

    All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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