Revenue Cycle Coding Edit Specialist

About the role

The Revenue Cycle Coding Edit Specialist will play a crucial role in ensuring accurate and compliant coding for inpatient accounts. This role involves assigning diagnostic and procedural codes, abstracting data elements, and resolving coding edits and discrepancies.

Responsibilities

• Accurately assigns codes from the current ICD classification systems for inpatient accounts, creates MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations and compliance plan
• Abstract additional data elements as identified by enterprise, such as administrative codes
• Review medical documentation and health information within various electronic medical or health systems to address coding claim edits and other requests from other departments, such as Patient Financial Services, in a timely manner ensuring DNFC KPI metrics are met
• Must be able to code all service lines of inpatient and outpatient accounts
• Ability to communicate effectively, stay organized, and demonstrate effective time management skills
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA

Requirements

• Education & Certification: High School Diploma or GED required, with an Associate's degree in HIM/HIT preferred. Must hold one of the following certifications: CCS, RHIT, or RHIA.
• Inpatient Coding Expertise: 2+ years of recent inpatient medical coding experience in a hospital or large multi-facility setting.
• Complex Case Experience: Proven ability to code complex conditions and procedures, ideally in a Level I/II trauma center or teaching hospital (e.g., cardiovascular, neurosurgery, orthopedics, NICU).
• Remote Work Proficiency: Demonstrated experience working effectively in a remote environment.
• Technical Acumen: Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner, Meditech).

Preferred

• 4-6 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.), upon hire
• Bachelor's degree in HIM, upon hire

Qualifications

• Established intermediate-level coding experience with a strong emphasis on inpatient coding guidelines and revenue cycle best practices.
• Highly organized self-starter with exceptional problem-solving skills and the ability to work autonomously in a remote setting.

Skills

• Sharp attention to detail
• Proficiency with various technical applications and EMR systems
• Commitment to data quality

Benefits

• Comprehensive benefits package including medical, prescription drug, dental, vision, life insurance, paid time off, tuition reimbursement, retirement plan benefits, and more.

Pay

$37.40 - $61.71 /hour

Schedule

Monday - Friday, 80 hours per week

Shift

Day

Travel

No

Category

Accounting and Finance

Employment Type

Full Time

Department

Revenue Cycle Management

Hours/Pay Period

80

Location

Chicago, Illinois, Remote