Reimbursement Coding Specialist- Medical Billing

Hiring Department: Medical Billing

Location: Peoria, IL USA

Requisition ID: 1034998

FTE: 1

Work Schedule: M-F 8:00a-4:00p

Shift: Days

# of Positions: 1

Workplace Type: On-Site

Posting Close Date: 6/3/25

The previously determined salary for this position is $23.45-$30.79

Final salary offered will be determined by a thorough assessment of available market data, internal salary equity, candidate experience and qualifications, and budget constraints.

It is not typical for an individual to be offered a salary at or near the top of the full range for a position.

Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.

This position is located on the Peoria campus 170 miles southwest of Chicago. (On-Site Work – Not Remote).

About UICOMP

The University of Illinois College of Medicine Peoria (UICOMP) educates 265 medical students and more than 300 physician residents and fellows annually. Additionally, it provides clinical care to more than 31,000 patients annually and conducts basic science, clinical and outcomes research. UICOMP is a regional campus of the University of Illinois College of Medicine, a part of the University of Illinois Chicago and University of Illinois System. The College of Medicine Peoria is home to the Cancer Research Center, Center for Wellbeing, and is a collaborator in Jump Simulation. Learn more about UICOMP at http://peoria.medicine.uic.edu.

Position Summary

Analyzes complex physician and ancillary medical billing charges to verify correct documentation and assign the correct codes to obtain the maximum reimbursement allowed by the payers. Performs other coding related functions including training new coding staff, educating other billing staff on correcting/resubmitting denied claims, serves as a coding resource/liaison, interfaces with outside auditors, and research mandated coding/billing changes to determine the proper course of action.

Works under general supervision from the Health Care Compliance Officer.

Duties & Responsibilities

• Analyzes and codes complex charge documents for ancillary and physician services utilizing standardized coding systems such as ICD-10-CM and CPT, or verifies coding performed by clinical staff and lower-level coders for accuracy.
• Reviews documentation to verify accuracy of codes, dates of service, and assures that documentation supports codes; processes provider's services as required.
• Determines actions such as submissions of additional documentation on individual claims to increase reimbursement levels and provide additional/supplementary documentation required for payer consideration of non-routine charges.
• Performs periodic reviews of department charges and research needed changes and/or interfaces with outside auditors.
• Submits pre­ billed charges to auditor(s) and reviews auditor's results for accuracy. Reviews Epic work ques and corrects all errors delaying claim submission.
• Recommends needed policy/process changes to appropriate supervisor, documents topic research, and reports necessary changes mandated by federal and state reimbursement programs as well as those required by the payers in a timely manner.
• Assists in training of new coders, support staff, etc. Attends and participates in departmental staff meetings, coding meetings, or other meetings as requested.
• Perform other duties and participate in special projects as assigned. Performs duties listed in lower level of this classification series.
  
  

Minimum Qualifications

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

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.

For classes within the professional (01), semi-professional (02), or managerial (03) occupational areas, out-of-state candidates may compete as all other candidates.

Once a final employment offer is completed, the out-of-state candidate must establish Illinois residency within 180 calendar days of the start date for the designated position. It is the employer’s responsibility to monitor this requirement.

Sponsorship for work authorization is not available for this position.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation