The University of Chicago Physician's Group (UCPG) is the central organization that supports the clinical activity of approximately 1,000 employed and community-based physicians under the University of Chicago.
The clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). UCPG provides the physician revenue cycle management for the medical services provided by these physicians.
Job Summary
The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff.
University of Chicago Physicians Group (UCPG) is seeking a Coding Specialist & Educator to assure that UCPG achieves the objective of CMS coding guidelines and adheres to the compliance program of the Medical Center. This person acts as a liaison between facilities, departments, providers and staff that use coded information and works with clinicians and health information management professionals to increase coding accuracy and appropriately depict the quality of care delivered.
The qualified individual will work to achieve overall revenue cycle expectations that comply with larger UCPG organizational goals and Compliance Department expectations, as well as utilize project and people management skills, clinical practice knowledge, and an understanding of documentation and coding requirements to support improvement in practice processes and compliance.
The Coding Specialist & Educator provides support to providers and clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a liaison between the off-sites and departments and related educational activities around coding, billing and compliance.
Responsibilities
The Coding Educator is responsible for conducting coding and billing training to physicians, coders, and other interested personnel, including developing the training materials, and assessing competency.
Performs quality assurance reviews/audits with appropriate feedback.
Monitors coding and billing regulations to assure compliance with governmental and payer regulations.
Works all coding related denials and acts as a resource to staff regarding coding issues and coding denials.
The Educator reviews coding performance, oversees day-to-day practice operations that involve CPT or ICD10 coding questions and workflow issues, and leads related staff and provider education for professional services coding of both in and outpatient services.
Furnish ongoing coding education to physicians, administrators, and staff, including creation of appropriate training materials.
Maintain up-to-date resource library with current and appropriate reference materials for the staff as well as maintain coding credentials by attending classes, seminars, conferences, etc. Assist Director as assigned to meet department goals.
Assist with providing ongoing training and education to providers and ancillary associates of CPT, ICD-10-CM, and HCPCs in accordance with CMS Coding guidelines.
Promote consistency and accuracy of coding and documentation practices, and conducts independent chart reviews that verify the correct assignment of diagnosis/procedure codes along with ensure clinical services ordered and performed are properly.
Investigate and analyze denial trends to identify root causes, patterns, and inefficiencies.
Use Excel or other software to analyze data and generate reports on denial rates.
Detail-oriented with a strong focus on accuracy and compliance.
Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.
Work Experience:
Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.
Certifications:
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Preferred Qualifications
Experience:
Must have strong E/M coding experience and ability to explain coding guidelines.
Four to five years demonstrated knowledge of coding.
Understanding of physiology, medical terminology, and disease process.
Two years previous experience in medical record chart documentation review.
Two years experience in group education with provider audiences.
One year working with Epic PB Resolute/EpicCare.
Licenses and Certifications:
Certified Professional Coder (AAPC) or Certified Coding Specialist-Physician based (AHIMA).
Preferred Competencies
Proficient in PC skills including Microsoft Excel, Power Point, Microsoft Access, and Word.
Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.
Must be able to create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.
Working Conditions
Office environment.
Application Documents
Resume (required)
Cover Letter (preferred)
When applying, the document(s) MUSTbe uploaded via the My Experience page, in the section titled Application Documents of the application.
Job Family
Financial Management
Role Impact
Individual Contributor
Scheduled Weekly Hours
40
Drug Test Required
No
Health Screen Required
No
Motor Vehicle Record Inquiry Required
No
Pay Rate Type
Salary
FLSA Status
Exempt
Pay Range
$65,000.00 - $100,000.00 The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.
Benefits Eligible
Yes The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.
Posting Statement
The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, national or ethnic origin, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.
We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
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