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Reimbursement Coding Representative- Pediatrics

University of Illinois Chicago
United States, Illinois, Chicago
May 24, 2025
Reimbursement Coding Representative- Pediatrics Reimbursement Coding Representative- Pediatrics Hiring Department: Pediatrics Location: Peoria, IL USA Requisition ID: 1035092 FTE: 1 Work Schedule: M-F 8:00a-4:00p or as needed Shift: Days # of Positions: 1 Workplace Type: On-Site Posting Close Date: 6/6/25 The previously determined salary for this position is $21.28 to $28.22 Final salary offered will be determined by a thorough assessment of available market data, internal salary equity, candidate experience and qualifications, and budget constraints. It is not typical for an individual to be offered a salary at or near the top of the full range for a position. Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits. *This position is located on the Peoria campus 170 miles southwest of Chicago. (On-Site Work - Not Remote).* About UICOMP The University of Illinois College of Medicine Peoria (UICOMP) educates 265 medical students and more than 300 physician residents and fellows annually. Additionally, it provides clinical care to more than 31,000 patients annually and conducts basic science, clinical and outcomes research. UICOMP is a regional campus of the University of Illinois College of Medicine, a part of the University of Illinois Chicago and University of Illinois System. The College of Medicine Peoria is home to the Cancer Research Center, Center for Wellbeing, and is a collaborator in Jump Simulation. Learn more about UICOMP at http://peoria.medicine.uic.edu. Position Summary The 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. 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. To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application. Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment. For classes within the professional (01), semi-professional (02), or managerial (03) occupational areas, out-of-state candidates may compete as all other candidates. Once a final employment offer is completed, the out-of-state candidate must establish Illinois residency within 180 calendar days of the start date for the designated position. It is the employer's responsibility to monitor this requirement. Sponsorship for work authorization is not available for this position. The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation To apply, visit https://uic.csod.com/ux/ats/careersite/1/home/requisition/15049?c=uic Copyright 2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-6f3a9ad2aa7f2f4c9f9bce4503e80c9d