Reimbursement Coding Representative- Pediatrics
: Job Details :

Reimbursement Coding Representative- PediatricsHiring Department: PediatricsLocation: Peoria, IL USARequisition ID: 1028280Posting Close Date: 11/15/24This position is located on the Peoria campus 170 miles southwestof Chicago. (On-Site Work - Not Remote).The University of Illinois College of Medicine Peoria(UICOMP) educates 265 medical students and more than 300 physician residentsand fellows annually. Additionally, it provides clinical care to more than31,000 patients annually and conducts basic science, clinical and outcomesresearch. UICOMP is a regional campus of the University of Illinois College ofMedicine, a part of the University of Illinois Chicago and University ofIllinois System. The College of Medicine Peoria is home to the Cancer Research Center,Center for Wellbeing, and is a collaborator in Jump Simulation. Learn moreabout UICOMP at Description:Position SummaryThe Peds Reimbursement Coding Representative operates under the direct supervision the Director of Administrative Operations and indirect supervision of a Reimbursement Coding Specialist. They code standard diagnoses and medical services for the purpose of receiving maximum allowable reimbursement from payors. The position performs other coding related functions such as patient registration and review of coding, billing, and documentation issues.Duties & Responsibilities

Codes standard charge documents for ancillary and physician services using standardized coding systems such as ICD-9-CM, ICD-10 and CPT, or verifies coding performed by clinical staff and lower level coders for accuracy. Completes data entry of paper billing claims into Epic when system does not allow for electronic charge entry. Processes all electronic & paper claims that are entered manually.

Assists with submissions of additional documentation on individual claims to increase reimbursement levels and provide additional/supplementary documentation needed for payor consideration of non-routine charges. Reviews documentation in order to verify accuracy of codes, dates of service, and assures documentation supports codes. Communicates with physicians and ancillary personnel to resolve problems with specific charges. Verifies that demographic and insurance carriers are accurate within patient registration. Reviews Epic workques (Charge Review) and corrects all errors that are delaying claim submission. Reviews Epic workques & make corrections: Claim Edit & Denials workques. Contacts the clinics/departments to determine the correct code to submit for coding errors and makes necessary changes.

Attends coding & reimbursement workshops to maintain level of competence & coding certification.

Performs other related duties as assigned. Assists in the preparation of general coding reports as requested.

Qualifications:Minimum Qualifications

High school graduation or equivalent.

Any one or any combination totaling 18 months from the following categories:

Work experience in a healthcare setting (i.e., hospital, physician's office, nursing home, billing agency) utilizing ICD-10, and CPT coding systems, Healthcare Common Procedure Coding System (HCPCS), and the Current Procedural Terminology (CPT) systems of coding to assign codes for services provided to patients.

College course work relating to healthcare operations includes the following topics such as Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses.

6 semester hours equals 6 months

12 semester hours equals 12 months

18 semester hours equals 18 months

Current designation as Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification) or current certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) satisfies all the requirements for this classification. Preferred QualificationsSalary Range: $21.29- $29.00Salary is competitive andcommensurate with qualifications and experience, while also consideringinternal equity. It is not typical for an individual to be offered a salary ator near the top of the full range for a position. FY25 Benefit Booklet: NOTE: Each posting requires a separate on-line application.Applications cannot be re-used. Submission of application including complete workand education history is required; all information submitted will beverified. Please note that once you have submitted yourapplication you will not be able to make any changes. In order to reviseyour application you must withdraw and reapply. You will not be able toreapply after the posting close date. Please ensure the application isfully completed and all supporting documents have been uploaded before theposting close date. Illinois residency is required within 180 days ofemployment. TheUniversity of Illinois System is an equal opportunity employer, including butnot limited to disability and/or veteran status, and complies with allapplicable state and federal employment mandates. Please visit to view our non-discriminationstatement and find additional information about required background checks,sexual harassment/misconduct disclosures and employment eligibility reviewthrough E-Verify.TheUniversity of Illinois conducts background checks on all job candidates uponacceptance of a contingent offer of employment. Background checks will beperformed in compliance with the Fair Credit Reporting Act.Asan EOE/AA employer, the University of Illinois encourages applications fromindividuals regardless of an applicant's race, color, religion, sex, genderidentity, sexual orientation, national origin, and Veteran or disabilitystatus.Theuniversity provides accommodations to applicants and employees. Request anAccommodation at