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This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/11912906 Department

BSD OBG - Billing and Information Systems

About the Department

The Department of Obstetrics and Gynecology has 140 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have more than 68,000 outpatient visits, 28,000 ultrasound visits, 2,800 deliveries, and 3,300 surgeries per year. Teaching, research, and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology, fibroid research, and hypertensive diseases in pregnancy. Additionally, the Section of Family Planning has established a unique research center, CI3, which focuses on reproductive policy and innovations in sexual and reproductive health. The department was ranked #16 on the 2022-2023 U.S. News & World Report.

Job Summary

The Department of Obstetrics and Gynecology is seeking an individual to assist the department with successful professional billing and compliance activities. Responsible for obtaining appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports and appeals whenever appropriate. Provide information and direction to the physicians relevant to coding. The ideal candidate is able to work autonomously, pays close attention to detail, and is passionate about what they do.

Responsibilities

• Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits.
• Analyze denial and rejection reports, and appeal wherever appropriate.
• Submit charges to UCPG in a timely manner. Work in collaboration with the team to provide guidance to faculty and staff on the charge capture and documentation processes.
• Educate physicians and support staff on coding issues, including issues related to fraud and abuse as it relates to coding/professional billing/clinical documentation.
• Performs a variety of accounts receivable/payable related activities which requires functional knowledge of invoice processing procedures.
• Collects, interprets, and performs some routine analyses of payables data. May act as an informal resource to associates with less experience.
• Reviews invoice payment reports and creates appropriate payables transactions to correct errors, with skills learned through considerable on-the-job experience.
• Performs other related work as needed.

Minimum Qualifications

Education:

Minimum requirements include vocational training, apprenticeships or the equivalent experience in related field (not typically required to have a four-year degree).

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Work Experience:

Minimum requirements include knowledge and skills developed through 5-7 years of work experience in a related job discipline.

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Certifications:

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Preferred Qualifications

Education:

• High School Diploma or equivalent.
• Bachelor\'s degree strongly preferred.

Experience:

• 2-4 years of experience working in physician/healthcare billing and physician coding strongly preferred.
• Prior experience working with OB/GYNE primary and sub-specialty physicians and procedure coding is strongly preferred.
• Prior experience with electronic billing and medical record systems (i.e. EPIC) is strongly preferred.

Preferred Competencies

• Working knowledge of ICD version 10 a d CPT coding classification systems, coding for third-party payers, including CMS guidelines and reimbursement compliance, and demonstrated knowledge of both specialty and primary care coding concepts to include the application of modifiers and documentation requirements.
• Proficiency in Microsoft Word, Excel, and Adobe.
• Manage interpersonal relationships and interact-communicate with clarity, tact, and courtesy with patrons, patients, staff, faculty, students, and others.
• Identify priorities; recognize and resolve or refer problems; work effectively with supervision and as part of a team.
• Proficient in Microsoft Office Applications.
• Ability to proactively anticipate physician needs and resolve problems.
• Ability to thrive in fast-paced environment and effectively manage competing tasks, deadlines, and needs.
• High levels of collaboration and initiative, strong editing skills and superb organizational abilities.
• Ability to provide excellent customer service.

Working Conditions

Office/H