OSF Healthcare Careers

Procedural Coder INI - INI000154

Hours per week: 40
Status (Benefits): Full-Time
Work Schedule: M-F 8:00-4:30
Location: 200 E Pennsylvania Ave Ste 102, Peoria, IL, United States

200 E Pennsylvania Ave Ste 102, Peoria, IL, United States

Job Description

Description

The Procedural Coder is responsible for assigning and sequencing ICD-10-CM/CPT diagnostic and procedural codes for designated service line. Utilizes coding manuals effectively for selection of most appropriate code assignment and reimbursement according to existing guidelines as established by Medicare, Medicaid, or any other payor.  Educates and audits new and established providers regarding coding and documentation guidelines as well as compliance standards. Dedicated point of contact to support patients through the health system regarding billing questions, medications and testing, completing insurance appeals, and assisting with financial assistance for charity care programs.  Collaborates closely with specialty services navigators prior to service when coverage/authorization problems are identified in addition to denied claims.

Qualifications

REQUIRED QUALIFICATIONS:

 

High School Diploma

 

AHIMA CCS-P or AAPC Certified Professional Coder (CPC).

 

1 year experience in assigning professional service codes as related to physician practices.

 

Must be able to work with external organizations in order to solve complex problems.

 

Expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs) for successful claim submissions using interpersonal relationship skills.

 

Experience with Electronic Medical Record systems.

 

Must achieve nationally recognized Revenue Cycle certification within 1 year of hire offered via online through OSF.

 

 

 

PREFERRED QUALIFICATIONS:

 

Associate degree in healthcare or business

 

Previous Neurological/Neurosurgical or Orthopedic professional coding

 

2 years of working knowledge of the revenue cycle including scheduling, registration, financial clearance, denials and appeals processes, regulatory issues, insurance functions and terminology.

 

Experience using Encoder software.

 

Advanced computer skills, PC experience w/ Windows-based applications.

 

 

 

EOE/Minorities/Females/Vet/Disabled

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

 

Experience the OSF culture and community by clicking here.

 

 

 

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

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