Identifies trends in coding issues and works with manager to educate and implement solutions.
Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim.
Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission.
Maintains productivity based on department standards.
Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines.
Communicates with practice managers and/or physicians if applicable.
Maintains productivity based on department standards.
Consistently utilizes coding and billing resources and reference tools.
Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures.
Implements findings to improve processes and workflows.
What you will need
Education: High School Diploma, required
Certification: CCS, CCS-P, CPC, or RHIT, required
Experience: 3+ years of outpatient coding experience
Benefits (For full time or part time positions)
Opportunity for annual increases based on performance
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
