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Medical coder jobs in Mount Prospect, IL

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  • Medical Coder

    AFC Urgent Care 4.2company rating

    Medical coder job in Hinsdale, IL

    Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits. Responsibilities: Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes. Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers. Provides documentation feedback to physicians. Maintains coding reference information. Trains physicians and other staff regarding documentation, billing and coding for their specialty. Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty. Attends meetings and educational roundtables, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues. Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed. May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals. May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded. Qualifications Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred Experience in Pain Specialty is Preferred 1 year experience in a relevant role High School Diploma or Equivalent
    $40k-54k yearly est. 10d ago
  • Surgical Coder

    Illinois Bone and Joint Institute 3.9company rating

    Medical coder job in Park Ridge, IL

    Full-time Description This position is primarily responsible for overseeing that all procedures are coded correctly and documented in the surgeon's notes according to AMA, ICD-10, and NCCI coding guidelines while maximizing payment. The Coder is responsible for gathering, verifying and entering into our PM system (EPIC) all scheduled surgical procedures and all outside encounters performed at associated facilities. Responsibilities also include correcting billing information according to insurance guidelines, including all insurance, Medicare, Workers Comp, MVA and Third party carriers. The Coder will communicate with provider coding discrepancies and provide accurate answers and documentation to the physicians when responding or addressing their coding questions or issues. Responsibilities Reviews all procedure and diagnosis codes submitted by provider for accuracy and maximum reimbursement against the documentation and according to AMA, ICD-10, NCCI and AAOS coding guidelines. Should a provider not submit the suggested CPT and/or ICD-10 codes, the Coder is responsible for determining code selection according to AMA, ICD-10, NCCI and AAOS coding guidelines. Coder needs to utilize the AAPC Codify tool to determine bundling guidelines and assistant payable status in addition to NCCI edit tools as established in EPIC/current PM system. Researches and communicates code changes to physicians via send back in basket message in EPIC/current PM system. Provides physicians with specific examples and appropriate references to support recommended coding changes. Verifies all codes against coding edits in EPIC/current PM system including NCCI bundling edits, payor specific requirement edits, modifier usage edits and any edit that is showing as needing review via an Error or Warning in the charge review data. Ensures all charges are posted and linked to the correct insurance set in EPIC/current PM system. Completes surgical and outside encounters that are ready to code or noted to have the appropriate operative report available with the established TAT of three business days. Runs the scheduled surgery report in the PM system daily to capture and review all scheduled surgical cases for assigned providers. Coder is responsible for updating reports when applicable. Coder is responsible for awareness of the volume of claims to ensure reports continue to show appropriate encounters. Coder is responsible for escalating any reporting issue to their management team. Runs the outside encounter report in the PM system daily to capture and review all unscheduled visits to include hospital consultations, subsequent hospital visits, and unscheduled surgical cases for assigned providers. Coder is responsible for awareness of the volume of claims to ensure reports continue to show appropriate encounters. Coder is responsible for escalating any reporting issue to their management team. Maintains current workflow and investigates problem accounts. Informs management when information is consistently missing or otherwise unavailable. Reviews documentation including proper provider signatures, proper locations, proper date of service, proper provider and/or assistants and bills accordingly. Coder reviews procedure authorization for accuracy. If a CPT code that is billable but not found on authorization, a send back to site is required for them to obtain a retro authorization. Claim is still to be released and not wait for retro to be obtained, however. Coder is responsible for reaching out to provider and/or provider site contact to communicate any missing documentation that is not compliant. Claim is not to be billed until documentation is found to be corrected by provider and/or site and found to be compliant. Prepares and submits additional documentation for billing of unlisted codes including verifying comparable code and placing appropriate detail in Box 19 of HCFA for reference of payor. Assists coding department, RCM and/or IBJI site staff with any coding questions. Monitors end user productivity report in PM system to ensure productivity is reflected accurately on a daily basis. Any work and/or time spent outside of the EPIC/current PM system is to be reported on the coder's time management spreadsheet to ensure time punched in according to TimePro is accurate. Coder is responsible for working surgical/outside encounter denials as assigned on the weekly denial schedule. Coder is responsible for attending scheduled meetings via Google meet or in person when required. This may require the camera to be on at times. Coder is responsible for responding to emails and Google chats within a timely manner. Coder is responsible for any other duties assigned by management. Other Responsibilities Adheres to and supports the objectives, policies and procedures of Illinois Bone and Joint Institute. Supports the development and implementation of improvement initiatives as it relates to the department goals. Maintains confidentiality and patient information according to HIPPA guidelines. Adheres to policy and procedures according to the Illinois Bone and Joint Employee Handbook. Maintains issued equipment and supplies. Reports any issues to appropriate management and/or IT team to resolve any issues immediately. Maintains their coding certification and submits to management proof when certification renews or changes. Requirements Education/Training Requirements High school diploma or GED. Must have Physician Coding Credentials from AAPC or AHIMA. Three years minimum experience in coding for orthopedic surgery subspecialties preferred. Knowledge of coding guidelines following AMA, ICD-10, NCCI and AAOS. Must be able to exercise independent judgment and react appropriately in stressful situations. Skill in defining problems, collecting data and interpreting medical billing information. Skill in computer applications, email, zoom meetings, etc Excellent communication skills and analytical skills Physical Requirements Requires sitting for a long period of time at your established workstation. Some bending and stretching is required. Working under stress and using the telephone is required. Manual dexterity required for use of computer keyboard and calculator. Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off. Salary Description $29.00-$35.00/hour based on experience level
    $29-35 hourly 60d+ ago
  • Coder lll -Inpatient Coder

    Insight Hospital & Medical Center

    Medical coder job in Chicago, IL

    WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers, and guests. POSITION PURPOSE: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers. Assigns appropriate code(s) by utilizing coding guidelines established by: * The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting * American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification * American Medical Association (AMA) CPT Assistant for CPT codes * American Health Information Management Association (AHIMA) Standards of Ethical Coding * Revenue Excellence/RHM Organization coding policies ESSENTIAL FUNCTIONS: * Knows, understands, incorporates, and demonstrates the Insight Hospital Mission, Vision, and Values in behaviors, practices, and decisions. * Adheres to Insight Health confidentiality requirements as they relate to the release of any individual or aggregate patient information. * Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. * Codes Complex Outpatient or Inpatient utilizing encoder software and online tools and references, in the assignment of ICD, CPT, HCPCS codes, MS-DRG, POA, SOI & ROM assignments, APC assignment and all required modifiers. * Consults reference materials to facilitate code assignment. * Understands appropriate link of diagnosis to procedure. * Appends modifier(s) to procedure code or service when applicable. * Collaborates with HIM and Patient Financial Services in resolving billing and utilization issues affecting reimbursement. * Interprets bundling and unbundling guidelines (NCCI). * Interprets LCDs/NCDs and payer policies. * Tracks issues (i.e., missing documentation, charges or Inpatient queries that require follow-up to facilitate coding in a timely fashion). * Investigates claims denials and/or appeals as directed. * Consistently meets or exceeds coding quality and productivity standards. * Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. * Identifies concerns and responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate. * Performs other duties as assigned by Leadership. * Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior MINIMUM QUALIFICATIONS: * Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred. * * Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA). * Two (2) years of current Complex Outpatient or Inpatient coding experience is required. Three (3) to five (5) years of current Complex Outpatient or Inpatient coding experienced preferred. Current experience doing remote coding is a plus. * Extensive comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG or APC grouping. Current experience doing remote coding is a plus. * Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred. * Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable. * Strong written and oral communication skills, that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives. * Ability to work with minimal supervision and exercise independent judgment. * Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload. * Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. * Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. * Ability to change and be flexible with work priorities. Strong problem solving- abilities. * Must be comfortable functioning in a virtual, collaborative, shared leadership environment. * Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight Hospital, Chicago. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITION: * Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. * Must possess the ability to comply with Insight Hospital policies and procedures. * Must be able to spend majority of work time utilizing a computer, monitor, and keyboard. * Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable. * Must be able to work with interruptions and perform detailed tasks. * If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time. * Must be able to travel to Insight Hospital (10%) as applicable. * If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy. Benefits: * Paid Sick Time - effective 90 days after employment * Paid Vacation Time - effective 90 days after employment * Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month * Short and long-term disability and basic life insurance - after 30 days of employment Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!
    $40k-56k yearly est. 60d+ ago
  • Medical Coder - 2909711

    Solve It Strategies

    Medical coder job in Chicago, IL

    Qualifications: - Outpatient Coder who can code all Hospital services - RHIA, RHIT, CCS, or COC Certification Job Descriptions: • Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system • Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines • Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed • May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc. • Provides coding feedback to providers, clinical department leadership, and revenue cycle team • Assist coding educators with education regarding documentation improvement • Escalate coding and documentation issues to revenue cycle leadership, and assist in facilitating corrective action plans • Assists with design and implementation of workflow updates and coding tools • Support the denial team on coding-related denials • Special projects as assigned
    $40k-56k yearly est. 60d+ ago
  • Coding Specialist I, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

    Northwestern Memorial Healthcare 4.3company rating

    Medical coder job in Chicago, IL

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Specialist performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 9 (ICD9) coding through abstraction of the medical record. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the role's core function. Responsibilities: Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services). Assigns appropriate CPT and ICD9 codes. Completes coding and billing worksheet. Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit reports). Provides documentation feedback to physicians. Maintains coding reference information. Trains physicians and other staff regarding documentation, billing and coding. Reviews and communicates new or revised billing and coding guidelines and information. Attends meetings and roundtable, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve. Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Drafts letters and coordinates appeals. Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.). Provides invoice disposition instruction. Provides additional code and modifier information. May perform other duties as assigned. Competencies/Performance Expectations: Please refer to NMHC Performance Standard Competencies. Maintains up-to-date knowledge, understands, and implements coding rule updates. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Ability to effectively handle challenging situations. Ability to balance multiple priorities. Excellent verbal and written communication skills. Ability to use personal computers and select software applications. Ability to analyze data for decision making purposes. Strong computer skills, including Microsoft Office, Outlook and database entry. Ability to maintain a high degree of confidentiality. Ability to adapt to changes in work environment, delays or unexpected events. Demonstrates attention to detail and monitors own work for accuracy. Qualifications Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS). Zero (0) to two (2) years' experience in a relevant role. Preferred: Bachelor's degree or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Previous experience with physician coding. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
    $44k-57k yearly est. 8d ago
  • CODING Apprenticeship

    I.C.Stars 3.6company rating

    Medical coder job in Chicago, IL

    Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY! We are now accepting applications for the upcoming cycle. APPLY TODAY! Who are we?: i.c.stars |* is an immersive, technology-based leadership training program for promising young adults. The basics: Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 16-week paid training program, which includes: project-based learning to build leadership skills and emotional intelligence core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL Networking opportunities with Executives and Professionals in the IT field Career preparation and placement assistance Upon completing the 16-weeks, *Interns graduate to become *Residents. Residency includes: 20 months of professional and social service support Access to laptops and software Business and Leadership Development events College Enrollment Assistance Our minimum requirements: Minimum age 18 or older Demonstrate financial need GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted) Have never attended a coding bootcamp in the past Available to attend training from 8AM-8PM, Monday-Friday for 16 weeks 6 months previous full-time work experience preferred Agree to a strict 'On Time, No Absence' policy
    $35k-45k yearly est. Auto-Apply 60d+ ago
  • Medical Coder (In-Person)

    Metro Infectious Disease Consultants

    Medical coder job in Burr Ridge, IL

    Job Description Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office, hospital inpatient and outpatient visits for Infectious Disease and Rheumatology. Assist billing department with billing, entering charges, entering demographics and processing monthly refunds. Other duties as defined. Requirements High School Diploma or Equivalent Required Current certification as a coding specialist preferred Knowledge of medical terminology; ICD10, CPT-4, and HCPCS preferred Benefits Health Insurance Dental Insurance Vision Insurance Life Insurance 401(k) Profit Sharing Paid time off Holiday Pay $70,000-$75,000 ($22/hour + monthly bonus)
    $22 hourly 26d ago
  • Onsite Medical Records Supervisor - Evergreen Park, IL - Occasional Travel Required

    Verisma Systems Inc. 3.9company rating

    Medical coder job in Evergreen Park, IL

    Onsite Client Operations Supervisor - Evergreen Park, IL * Must be able to travel occasionally between 2-3 locations up to 3 hours apart* Summary of Position: Under the direction of the Director of Client Operations and the general instruction of the Facility Contact at various facilities, the Client Operations Supervisor is responsible for the efficient operation of assigned accounts. In addition, the Client Operations Supervisor will also assist in training, staffing, and providing coverage at various sites.Duties & Responsibilities: Answers day-to-day questions posed by clients and Release of Information Specialists (ROIS). Responsible for meeting facility revenue goals on a consistent basis. Identifies and recommends opportunities to increase productivity. Complies with all release of information related functions, as stipulated by service agreement. Prepares weekly dashboard and month-end Operational performance reports Monitors productivity and quality to ensure high customer service satisfaction. Assists the Director of Client Operations in the training and evaluation of ROIS staff, both onsite and remote. Assists in selecting, interviewing, hiring and terminating of employees. Participates in counseling sessions of site personnel and makes disciplinary or termination recommendations, when necessary. Manages scheduling of onsite staff to include time off requests and payroll approval Assists remote supervisors with the coordination of work. Distributes workflow to site personnel. Maintains confidentiality by keeping all information seen and heard in the facility secure. Provides input into the review and revision of site procedure. Performs quality reviews and site evaluations as required by clients. Reviews release of information requests for validity according to applicable state or federal statutes; returns inappropriate authorizations and requests to the requester. Looks up medical record numbers, fills out guides and pulls medical records, when appropriate. Reviews the requests to determine which encounters are being requested. Scans and/or captures electronically, the medical record and chooses the appropriate information to be duplicated. Captures the appropriate pages for the requested records, when appropriate. Re-assembles the charts (if paper) for re-filing. Logs information that is being sent to the requester either manually or using company software in accordance with the facility procedure. Documents the release of information in the patient medical record or other means determined by the facility. Calculates billing and prepares invoices, as needed. Certifies medical records copies, when appropriate. Attends all mandatory meetings and/or training sessions. Ensures supplies are available at designated facility. Submits company-related travel expense reports and original receipts to manager in a timely fashion. Complies with and provides guidance on Company Policies, as identified in the Company Handbook. Performs other appropriate duties, as assigned, to meet the needs of the department and the company. Minimum Qualifications: A High School Diploma or GED is required, some college preferred. RHIT Certification, preferred. A valid driver's license and a history of safe driving. Ability to communicate effectively with clients, staff members and management. Experience with medical records or healthcare, beneficial. Knowledge of HIPAA privacy information standards, required. Medical terminology coursework, preferred RHIT certification or the ability to take and pass an ROI Certification course with a score of 85% or higher, within 90 days is required. Ability to travel. .
    $45k-69k yearly est. 12d ago
  • Medical Coder

    ENT Partners 3.3company rating

    Medical coder job in Skokie, IL

    Medical Coder - ENT Specialty Focus Employment Type: Full-time, Monday-Friday Currence Physician Solutions, a subsidiary of ENT Partners, LLC, is a trusted leader in specialty revenue cycle management for over 40 years. We partner with ENT practices nationwide to deliver industry-leading billing, coding, and collections results - empowering physicians with the financial clarity to focus on patient care. ENT Partners supports physicians in providing comprehensive ENT, Allergy, Audiology, and Sleep Medicine services while alleviating administrative burdens. Today, we support practices of all sizes - solo practitioners to large multi-site groups - across more than 25 clinics throughout the Midwest and East Coast. Role Description We are seeking a Medical Coder (ENT Specialty Focus) to join our high-performing coding team. This role is critical to ensuring the accuracy, compliance, and efficiency of our revenue cycle operations. While ENT experience is strongly preferred, we are open to coding professionals eager to specialize and grow in this unique field. The ideal candidate is detail-oriented, thrives in a collaborative environment, and brings both technical accuracy and professional curiosity to support practice growth. This is a chance to join a national platform where your work directly impacts provider success and patient access to care. Key Responsibilities Assign accurate ICD-10, CPT, and HCPCS codes for ENT, Allergy, Audiology, and Sleep Medicine services. Review provider documentation for completeness and compliance prior to coding. Partner with providers and clinical staff to clarify documentation when needed. Ensure coding practices meet CMS, payer-specific, and industry guidelines. Research and resolve coding-related denials; assist with resubmission of corrected claims. Stay current with coding updates, payer changes, and specialty-specific regulations. Navigate and utilize EMR/EHR and billing systems (ECW, Epic, AdvancedMD experience preferred). Maintain strict adherence to HIPAA and patient confidentiality. Qualifications High school diploma required, Associate's or Bachelor's in Health Information Management or related field preferred. 2+ years of medical coding experience in a healthcare or revenue cycle setting (ENT coding experience highly preferred). Proficiency in ICD-10, CPT, and HCPCS. Familiarity with ENT, Allergy, Audiology, or Sleep Medicine coding strongly preferred. Certification (CPC, CCS, or equivalent) required or actively pursuing. Strong knowledge of healthcare billing and insurance processes. Excellent accuracy, attention to detail, and analytical/problem-solving skills. Ability to work both independently and collaboratively within a team. Compensation & Benefits Pay: $23.00-$25.50 per hour, based on experience and qualifications. Benefits include: 401(k) with company match Medical, dental, vision, life, and disability insurance Paid time off and holidays Certification reimbursement & professional development assistance Employee referral program Why Join Us? Be part of a national ENT platform with a reputation for excellence. Develop specialty coding expertise in ENT, a growing and dynamic field. Enjoy a supportive, collaborative environment with strong leadership. Gain exposure to multiple practice operations and broaden your professional skill set. Join a company that values growth, compliance, and innovation in healthcare. ENT Partners is a drug-free workplace and an Equal Opportunity Employer.
    $23-25.5 hourly 60d+ ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Chicago, IL

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $39k-60k yearly est. Auto-Apply 14d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Chicago, IL

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $39k-60k yearly est. Auto-Apply 13d ago
  • Certified Coder

    Christian Community Health Center 3.7company rating

    Medical coder job in Chicago, IL

    Job Title: Certified Coder FLSA Status Full Time/ Exempt A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement. Minimal Qualifications/Experience/Skills: Responsibilities: * Review claim edits/errors within billing system to ensure accuracy of coding and billing requirements. * Compliance with medical coding guidelines and billing policies * Receiving and reviewing patients' charts and documents for verification and accuracy. * Obtain necessary clarification of information on the notes and charts from providers. * Collecting information made by the Physician from different sources to prepare monthly reports, * Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results * Collaborate with manger in the development and improvement of work flow processes, for optimum output/efficiency. * Review, research and respond to provider and operating management inquires about the coding of encounters. * Review claim edits/errors within billing system to ensure accuracy of coding and billing requirements. * Making sure that codes are assigned correctly and sequenced appropriately as per Federal and state guidelines. Employee Benefits offered to Fulltime Staff * Blue Cross Blue Shield Medical Insurance * Blue Cross Blue Shield Dental and Vision Insurance * Supplemental Benefits * Life Insurance (Provided by the company)
    $36k-42k yearly est. 2d ago
  • Operator/Medical Records Tech

    Barrington Orthopedic Specialists 3.4company rating

    Medical coder job in Schaumburg, IL

    Since 1980, Barrington Orthopedic Specialists' specialty-trained experts have remained the premier orthopedic providers of the northwest Chicago suburbs, providing compassionate, individualized care for patients' bone, joint, and muscle injuries and conditions. Barrington Orthopedic Specialists is looking for an Operator/Medical Records Tech with knowledge on using electronic health records (EHR) in a physician office. The position requires strong customer service skills and attention to detail. Scheduled hours: Full-Time 40 hours per week Monday - Friday: 8:00 AM - 5:30 PM (hours vary) This is an in person, office based position. Responsibilities include, but are not limited to: Responsible for the process and distribution of documents as assigned. Includes scanning, labeling, classifying and distribution of documents and incoming faxes Import faxed documents to EHR, update charts as needed Monitor EHR work groups Distribute call faxes from hospitals Answer incoming operator queue calls Monitor all conference room schedules Arrange all conference rooms Prepare rooms for depositions Medical Records Assists with records request as needed Replenish staff lounge supplies as needed Responsibilities and activities may change or be assigned at any time with or without notice Processing incoming Medical Time Off Forms - Disability Forms, Certificate of Healthcare Providers forms, Insurance Forms. Back up to Phone Operator que. Benefits: 401(k) Retirement Plan 401(k) Employer Matching Health Insurance Dental Insurance Vision Insurance Health Savings Account with Employer Contributions Life Insurance Long Term Disability Voluntary Short-Term Disability Voluntary Critical Illness Benefit Voluntary Accidental Benefit Voluntary ID Shield Benefit Employee Assistance Program Paid Time Off Requirements Knowledge of medical records system (EMR) Strong computer skills Exceptional multi-tasking skills Strong customer services skills Flexible working hours required Salary Description Salary will be determined based on experience.
    $26k-34k yearly est. 60d+ ago
  • Medical Records Technician (Chicago, IL)

    Advantmed 3.6company rating

    Medical coder job in Chicago, IL

    Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry. At Advantmed, our mission is to improve the healthcare system by ensuring appropriate, quality care, and eliminating unnecessary costs. Advantmed is a privately held company founded in 2005 and composed of over 1,800 seasoned professionals aligned by one common goal: to meet our clients' evolving needs with accuracy, efficiency, and transparency. We would love to have you join our team of dedicated professionals! We encourage you to visit the details of the role by watching the video available at the following link: Medical Records Technician Our Medical Records Technicians receive company-provided laptops and portable scanners to travel to various medical facilities and hospitals for scanning patient medical records. Duties and Responsibilities: Maintain a record system for patient information and gathering documents. Use electronic systems to properly collect, organize, and manage data. Ensure medical records are organized, accurate, and complete. Create digital copies of paperwork and store records electronically. File paperwork/reports quickly and accurately. Ensure HIPAA standards are met. Follow all confidentiality guidelines, rules, and procedures. Interact with medical staff, healthcare providers, and other medical personnel. Ability to lift and carry up to 25 pounds. Additional Good-to-Have Qualifications: Previous work experience in a healthcare setting, such as a hospital, clinic, or medical office dealing with medical charts. Proficiency in Electronic Health Records (EHR) / EMR systems such as Epic, Cerner, Meditech, etc. Intermediate knowledge of medical chart structure, content, and medical terminologies. Familiarity with Word, Excel, and Outlook for documentation and communication. Ability to operate and troubleshoot common issues with printers and scanners. Strong verbal and written communication skills for interacting with healthcare professionals. Requirements Must-Have Qualifications: Valid driver's license and clean motor vehicle record. Have a car and active insurance in their name (Candidates must provide registration documentation). Willing to drive up to 60-80 miles or more (round-trip). Internet access at home. Basic PC and office equipment skills. Applicants must be available from 08:00 am to 05:00 pm respective time zone to visit required facilities. Pay Rate: $18-$21 per hour or $3 per record, whichever is higher Paid semi-monthly based on total hours worked or total records retrieved during the work period (whichever is higher). Paid mileage, reimbursement for some travel expenses, paid $50 (daily) Food Allowance, when traveling out of state & paid Flight + Hotel + Rental (if required). This is a part-time, seasonal position, with the potential for extension based on project requirements and needs
    $18-21 hourly Auto-Apply 4d ago
  • Certified Bilingual Specialist LBS2 (Chicago, IL - Midway)

    Focused Staffing

    Medical coder job in Chicago, IL

    Chicago, IL - Midway Classroom Instruction - Bilingual Education LBS2Full-Time / On-site Apply for this job As a LBS2/Bilingual Specialist you will advance student achievement among English language learners. Collaborate with the organizational curriculum team to develop a vertically aligned, research-based, and effective curriculum. Provide modeling, coaching, and staff development for administrators, teachers, paraprofessionals, and related service staff. Responsibilities Instruct ELL students with disabilities in academic subjects. Travel to sites to train teachers, staff, and administration in ELL curriculum, supports and interventions. Attend IEP meetings in person/Virtual for ELL students. Prepare and adapt materials for use in the classroom for ELL students; maintain classrooms and materials in good order. Attend Curriculum Team Meetings Supervise students, in groups or individually, monitoring behavior to ensure that it aligns with programmatic expectations. Develop and update IEP goals and progress for EL students on assigned caseload. Monitor credits and courses required for graduation for students on assigned caseload; prepare assignments; grade assignments; prepare reports. Contact student's parents in case of crisis, emergency, and for general feedback Coordinate and communicate with other staff members in order to ensure consistent application of the academic and therapeutic program. Have awareness of all students in the program in order to ensure consistent application of the academic therapeutic program. Maintain confidentiality of students and student records. Attend all staff meetings and in-service training as requested. Support and promote administrative policies and goals. Qualifications ISBE PEL Endorsed or Approved for LBS2/Bilingual Specialist Must be flexible in the ability to teach multiple grade levels as student populations change Ability to teach a classroom of students within all basic instructional areas Ability to work with youth with emotional/behavioral/academic difficulties Ability to be flexible, work in teams and creatively problem solve Excellent interpersonal and communication skills, with demonstrated ability to speak and write clearly and persuasively This is not intended to be all-inclusive and the employee shall perform other reasonably related school duties as assigned by administrators. This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment. About UsWe have evolved into a dynamic, responsive, multi-state education non-profit, operating numerous private and public/private partnership schools. The organization still firmly adheres to its policy to never give up on a child and that no student will be rejected, suspended, or expelled.Our mission is “To provide innovative solutions to critical problems in education and human services.” We bring a framework of educational practices that have been designed and are supported through evidence based practices. Our collaborative process with various school and community stakeholders has resulted in programs designed to educate, support, challenge, empower and celebrate students who present with a range of academic, social and emotional needs. At the beginning of a student's experience with us, a collaborative meeting is held that includes the student, significant people in their lives, our staff and other professionals as appropriate. During that meeting, a comprehensive assessment of the student's past, present and future desires is used to establish a student centered plan (MAP) that serves as a foundation of the student's programming. A guiding principle of us is ‘we do not give up', while also holding our students and staff to high expectations. The educational offerings at our program provides students with a quality education that is designed to nurture and enhance the skills and maturity needed to meet the challenges of being productive adults and citizens in a rapidly changing 21st century world.Students Served: PK-21
    $37k-53k yearly est. 30d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Medical coder job in Orland Park, IL

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $31k-41k yearly est. Auto-Apply 24d ago
  • Inpatient Coder - 3093509

    Solve It Strategies

    Medical coder job in Chicago, IL

    The Financial Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies, verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Research and resolves all inquiries from Revenue Cycle Departments in an efficient manner. Responsibilities: • Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types • Assigns Evaluation and Management codes for Facility Clinic visits • Analyze and review clinical documentation to ensure documentation supports accurate charge capture and appropriate charging for services rendered • Assigns appropriate CPT Collaborate with HB Coding, Revenue Integrity, Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise and HCPCS codes to medical procedures according to coding guidelines • Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures • Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant interprets coding conventions and instructional notes to select appropriate diagnose Additional Functions • Other duties as assigned Qualifications Required: • Six months coding experience in an oncology setting. 2 years of physician and/or hospital billing including infusion billing. • Thorough understanding of Medicaid, HMO's, PPO's and private insurance companies. • ICD9, CPT, and chemotherapy infusion billing knowledge. • Effective in identifying and analyzing problems. • Generates alternatives and possible solutions. • Above average keyboarding and data entry skills. • Ability to multi-task and work in a fast-paced environment. • Ability to work with physicians and other staff in a collaborative manner. Preferred: • Associate's degree • CPC, CCS-P, COC, CCS, RHIT, or RHIA Certification
    $40k-56k yearly est. 30d ago
  • Coding Specialist II

    Insight Hospital & Medical Center

    Medical coder job in Chicago, IL

    WE ARE INSIGHT: At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! GENERAL SUMMARY: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests. Duties and Responsibilities: * Assigns appropriate code(s) by utilizing coding guidelines established by: * The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting * American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification * American Medical Association (AMA) CPT Assistant for CPT codes * American Health Information Management Association (AHIMA) Standards of Ethical Coding * Insight Hospital coding policies * Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions. * Adheres to Insight Hospital confidentiality requirements as they relate to the release of any individual or aggregate patient information. * Proficiently navigates the patient health record and other computer systems/sources in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment. * Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. * Consults reference materials to facilitate code assignment. * Understands appropriate link of diagnosis to procedure. * Appends modifier(s) to procedure code or service when applicable. * Collaborates with HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement. * Interprets bundling and unbundling guidelines (NCCI). * Interprets LCDs/NCDs and payer policies. * Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion. * Investigates claims denials and/or appeals as directed. * Consistently meets or exceeds coding quality and productivity standards. * Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. * Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate. * Performs other duties as assigned by Leadership. * Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: * Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred. * Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required. * Two years of current acute care coding emergency department and observation or physician coding experience is required. * Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred. * Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools is desirable. * Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives. * Ability to work with minimal supervision and exercise independent judgment. * Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload. * Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills. * Must be comfortable functioning in a virtual, collaborative, shared leadership environment. * Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight-Chicago. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS: * Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles. * Must possess the ability to comply with Insight Hospital policies and procedures. * Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard. * Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable. * Must be able to work with interruptions and perform detailed tasks. * If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time. * Must be able to travel to Insight Hospital (10%) as applicable. * If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy. BENEFITS: * Paid Sick Time - effective 90 days after employment * Paid Vacation Time - effective 90 days after employment * Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month * Short and long-term disability and basic life insurance - after 30 days of employment Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!
    $40k-56k yearly est. 34d ago
  • Coding Specialist I, PB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, or WI)

    Northwestern Memorial Healthcare 4.3company rating

    Medical coder job in Chicago, IL

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Specialist performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 9 (ICD9) coding through abstraction of the medical record. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the role's core function. Responsibilities: Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services). Assigns appropriate CPT and ICD9 codes. Completes coding and billing worksheet. Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit reports). Provides documentation feedback to physicians. Maintains coding reference information. Trains physicians and other staff regarding documentation, billing and coding. Reviews and communicates new or revised billing and coding guidelines and information. Attends meetings and roundtable, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve. Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Drafts letters and coordinates appeals. Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.). Provides invoice disposition instruction. Provides additional code and modifier information. May perform other duties as assigned. Competencies/Performance Expectations: Please refer to NMHC Performance Standard Competencies. Maintains up-to-date knowledge, understands, and implements coding rule updates. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff and other customers. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Ability to effectively handle challenging situations. Ability to balance multiple priorities. Excellent verbal and written communication skills. Ability to use personal computers and select software applications. Ability to analyze data for decision making purposes. Strong computer skills, including Microsoft Office, Outlook and database entry. Ability to maintain a high degree of confidentiality. Ability to adapt to changes in work environment, delays or unexpected events. Demonstrates attention to detail and monitors own work for accuracy. Qualifications Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS). Zero (0) to two (2) years' experience in a relevant role. Preferred: Bachelor's degree or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Previous experience with physician coding. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
    $44k-57k yearly est. 38d ago
  • Central Registration Scheduling Representative or Operator/Medical Records Tech

    Barrington Orthopedic Specialists 3.4company rating

    Medical coder job in Schaumburg, IL

    This position is for one of two full-time roles: 1. Central Registration Scheduling Representative OR 2. Operator/Medical Records Tech Since 1980, Barrington Orthopedic Specialists' specialty-trained experts have remained the premier orthopedic providers of the northwest Chicago suburbs, providing compassionate, individualized care for patients' bone, joint, and muscle injuries and conditions. Central Registration Scheduling Representative position: Scheduled Hours: Full-time (40 hours per week) Monday - Friday: Hours anywhere from 8:00AM - 6:30PM Occasional rotating Saturdays: 8:00AM - 12:00PM Location: Schaumburg, IL This is an on-site position located in our Schaumburg office, and will soon be moving to our Elk Grove Village location. Barrington Orthopedic Specialists is looking for a full-time Central Registration Scheduling Representative! • Schaumburg, Bartlett, Elk Grove, Buffalo Grove, IL • Barrington Orthopedic Specialists was established in 1980 with a philosophy of treating patients as you would want to be treated. The practice has remained as the premier orthopedic provider of the northwest Chicago suburbs, providing compassionate, individualized care for patients' bones, joints, and muscle injuries and conditions. Responsibilities include, but are not limited to: Register and schedule incoming patient appointments using our Electronic Health Record (E.H.R System) Obtain and enter patient demographic information, primary care, pharmacy information and medications Enter insurance information and verify eligibility Occasionally provide phone coverage for main phone operator Triage phone messages for patients Process Medical Record papers as needed Requirements: One year of prior medical office experience Medical Terminology and general knowledge of medical insurance plans Strong phone and computer skills needed Strong customer service skills required Electronic Health Records Systems (E.H.R) Experience working with Athena a PLUS Benefits: 401(k) Retirement Plan 401(k) Employer Matching Health Insurance Dental Insurance Vision Insurance Health Savings Account with Employer Contributions Life Insurance Long Term Disability Voluntary Short-Term Disability Voluntary Critical Illness Benefit Voluntary Accidental Benefit Voluntary ID Shield Benefit Employee Assistance Program Paid Time Off Operator/Medical Records Tech position: Scheduled hours: Full-time (40 hours per week) Monday - Friday: 8:00 AM - 5:30 PM (hours vary) Location: Schaumburg, IL This is an in person, office based position. Barrington Orthopedic Specialists is looking for an Operator/Medical Records Tech with knowledge on using electronic health records (EHR) in a physician office. The position requires strong customer service skills and attention to detail. • Schaumburg, Bartlett, Elk Grove, Buffalo Grove, IL • Responsibilities include, but are not limited to: Responsible for the process and distribution of documents as assigned. Includes scanning, labeling, classifying and distribution of documents and incoming faxes Import faxed documents to EHR, update charts as needed Monitor EHR work groups Distribute call faxes from hospitals Answer incoming operator queue calls Monitor all conference room schedules Arrange all conference rooms Prepare rooms for depositions Medical Records Assists with records request as needed Replenish staff lounge supplies as needed Responsibilities and activities may change or be assigned at any time with or without notice Processing incoming Medical Time Off Forms - Disability Forms, Certificate of Healthcare Providers forms, Insurance Forms. Back up to Phone Operator que. Requirements: Knowledge of medical records system (EMR) Strong computer skills Exceptional multi-tasking skills Strong customer services skills Flexible working hours required Benefits: 401(k) Retirement Plan 401(k) Employer Matching Health Insurance Dental Insurance Vision Insurance Health Savings Account with Employer Contributions Life Insurance Long Term Disability Voluntary Short-Term Disability Voluntary Critical Illness Benefit Voluntary Accidental Benefit Voluntary ID Shield Benefit Employee Assistance Program Paid Time Off Salary Description Salary will be determined based on experience.
    $26k-34k yearly est. 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Mount Prospect, IL?

The average medical coder in Mount Prospect, IL earns between $34,000 and $66,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Mount Prospect, IL

$47,000

What are the biggest employers of Medical Coders in Mount Prospect, IL?

The biggest employers of Medical Coders in Mount Prospect, IL are:
  1. IL Bone & Joint
  2. Ascension Michigan
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