Reimbursement Coding Specialist - Extra Help (Temporary) (5547)

Employees at this level code for ancillary, hospital services, and medical providers to receive maximum allowable reimbursement from payers and/or are able to code more complex cases accurately for reimbursement purposes. They also perform other coding-related functions such as training, research, and auditing. They function under the general supervision of a Reimbursement Coding Coordinator or related personnel.

• reviews inpatient and/or outpatient documentation to assign the appropriate ICD-9-CM, ICD-10, CPT, and/or HCPCS diagnosis and procedures codes while adhering to coding guidelines;
• keeps abreast of bulletins, newsletters, and periodicals; attends workshops to stay current on coding issues, trends, and changes in regulations governing medical record coding documentation;
• responsible for abstracting codes and other information from the hospital system for billing and reporting purposes. Identifies and makes recommendations for coding edits;
• assists in development of policies and procedures related to coding of medical providers, ancillary, and/or hospital services using ICD-10, HCPCS, and/or CPT;
• tracks appeals to ensure appropriate strategies are employed and to adjust accordingly; assists in resolving day-to-day coding related issues; serves as a resource person for billing/coding purposes;
• reviews charge tickets and/or documentation to determine accuracy of CPT and diagnosis coding;
• prepares complex reports;
• trains lower level staff, residents, fellows, etc.; may participate in the interviewing and hiring process;
• reviews, analyzes and corrects or resolves claim denials;
• performs periodic audit reviews;
• performs duties listed in the lower level of this classification series;
• performs other related duties as assigned.

1. High school diploma or equivalent.
2. Current certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA), or current certification as a Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification).
3. One (1) year/twelve (12) months of work experience comparable to that performed at the Reimbursement Coding Representative level of this series or in other positions of comparable responsibility.

If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

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