The University of Chicago
Campus - Hyde Park, IL
JOB DESCRIPTIONAPPLY Under general direction, obtain appropriate reimbursement levels for professional services by reviewing and coding procedures, analyzing denial and rejection reports, and appealing wherever appropriate.
Professional and Technical Fee Abstracting and Coding
Ensure that the professional and technical components of services are processed and billed in a timely manner, in order to obtain payments appropriate for the department. Review and abstract the patient's medical chart for services performed by attending physician(s). Assign the appropriate ICD-9 and CPT-4 codes to the services provided by the physician(s). Process charges prior to submission to UCPG. Assure that charges are submitted in a timely manner in order to meet deadlines.
Coding Integrity & Compliance
Provide educational direction to physicians, administrators, support staff and hospital personnel as requested. Provide regular feedback to physicians and support staff to improve on success and reduce errors. Assure that physician signatures are noted on each charge ticket. Recommend systemic changes and work with faculty and staff members to facilitate such change.
Participate in annual and on-going mandatory compliance training and maintain knowledge of regular updates on billing compliance regulations. Keep informed of changes in policy by reviewing regular Medicare bulletins and other relevant resources. Be knowledgeable of and continually in compliance with all federal and state health care laws, regulations, and rules (including Medicare and Medicaid billing requirements that are applicable to the employee's job duties).
Assist manager in reviewing, correcting and appealing, as appropriate, denials for professional services. Review delinquent accounts and work with UCPG and Finance to obtain additional demographic and insurance information as necessary.
Respond to inquiries and/or provide factual information to relevant callers and insurance carriers. Gather requests from third party carriers; supply additional requested information in order to obtain prompt payment from carriers.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or status as an individual with disability.
The University of Chicago is an Affirmative Action / Equal Opportunity / Disabled / Veterans Employer.
Job seekers in need of a reasonable accommodation to complete the application process may contact Human Resources by calling 773-834-1841 or by emailing email@example.com with their request.