Abstractor​/Coder

Join to apply for the Abstractor/Coder I role at University of Chicago
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$25.95/hr - $37.98/hr (base pay)

BSD UCP - Professional Billing Coding - Medical Specialty. The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprise 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, 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.

It 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 on the same campus. The University of Chicago Practice Plan (UCPP) supports the clinical activity of nearly 850 clinically active faculty practicing at the University. These faculty collectively form the University of Chicago Physicians Group (UCPG), a component of the physician practice plan.

The UCPG provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the BSD departments. Each physician is a faculty member and is based in a specified department in the BSD.

The University of Chicago Physicians Group (UCPG) team manages the overall clinical revenue for physician billing, including frontend revenue capture, edit work, and audits for physician education. The role involves working with providers and staff on professional billing and compliance activities, with strong knowledge of evaluation and management coding guidelines strongly preferred. This position is eligible for a flexible work arrangement.

• Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits.
• Analyze denial and rejection reports and appeal where appropriate.
• Submit charges in a timely manner.
• Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the charge capture and documentation processes.
• Educate physicians and support staff on coding issues, including issues related to fraud and abuse as it relates to coding/professional billing/clinical documentation.
• Attend and participate in meetings related to clinical revenue production and compliance.
• Track physicians on inpatient services and ensure charges are captured for services provided.
• Manage tracking log.
• Audit and provide feedback to all providers rotating on inpatient services.
• Other duties as assigned.

• Thorough working knowledge of medical terminology, anatomy, and physiology, demonstrated by certification through a nationally accredited body (e.g., AAPC or AHIMA) required.
• Working knowledge of ICD and CPT coding classification systems, coding for third‑party payers, including CMS guidelines and reimbursement compliance, and demonstrated knowledge of both specialty and primary care coding concepts, including application of modifiers and documentation requirements.
• Proficiency in Microsoft Word, Excel, and Adobe required.
• Communicate effectively in English, both orally and in writing.
• Manage interpersonal relationships and interact/communicate with clarity, tact, and courtesy with patrons, patients, staff, faculty, students, and others.
• Identify priorities; recognize and resolve or refer problems; work effectively with supervision and as part of a team; use or learn a range of position‑related software applications.

• High School Diploma or equivalent required.

• 2–4 years of experience working in physician/healthcare billing and physician coding or a recent graduate from an HIM bachelor’s program with an RHIA required.
• Two or more years of experience coding physician services or a recent graduate from an HIM bachelor’s program with an RHIA required.
• Prior experience with electronic billing and medical record systems (e.g., Epic,…