Department
BSD UCP - Professional Billing Coding - Medical Specialty
About the Department
The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.
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.
Responsibilities
- Assist department managerial and executive staff in the management of successful billing and compliance activities.
- Ensure that all professional and hospital charges are posted accurately and timely, and that the department meets chart documentation, CPT and ICD-9-CM/ICD-10-CM requirements.
- Review coding procedures, workflow issues, billing infrastructure, and the performance of Coders/Abstractors.
- Inform department administrators, physicians and Abstractor/Coders of regulatory changes.
- Assist in departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies and expectations.
- 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 QualificationsEducation: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:---Preferred QualificationsEducation:Experience:
- 4-5 years of experience in (physician) healthcare billing and coding.
- Thorough working knowledge of medical terminology, anatomy and physiology.
Licenses and Certifications:
- Certification through a nationally accredited body (e.g., AACP or AHIMA).
- Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].
- Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]).
Preferred Competencies
- 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.
- 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.
- Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.
- Thorough working knowledge of federal and state regulations regarding reimbursement.
- Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.
- Expertise in decision-making and accountability.
- Creativity and ability to recommend new procedures and implementation of said procedures.
- PC experience which includes spreadsheets, word processing, presentations, and databases.
- Working knowledge of healthcare billing and clinical systems.
Working ConditionsApplication Documents
- Resume (required)
- Cover Letter (required)
When applying, the document(s)
MUSTbe uploaded via the
My Experience page, in the section titled
Application Documents of the application.
Job FamilyFinancial Management
Role ImpactIndividual Contributor
Scheduled Weekly Hours40
Drug Test RequiredNo
Health Screen RequiredNo
Motor Vehicle Record Inquiry RequiredNo
Pay Rate TypeSalary
FLSA StatusExempt
Pay Range$70,000.00 - $85,000.00
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 EligibleYes
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 StatementThe 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.
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