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This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/11874405 Department

BSD UCP - Coding Team

About the Department

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

University of Chicago Physicians Group (UCPG) is seeking a Coding 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 work 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 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.

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.

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.
• 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.

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Work Experience:

Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.

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Certifications:

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Preferred Qualifications

Experience:

• E/M coding experience strongly preferred.
• 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 Certifi