MINIMUM QUALIFICATIONS REQUIRED:

• 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.
  Preferred Qualifications:

Demonstrated experience with OBGYN-specific coding and documentation requirements.

• Working knowledge of payer-specific rules, Medicaid maternity billing guidelines, and bundled obstetrical care coding preferred.

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.
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

• Reviews inpatient and/or outpatient OBGYN documentation to assign accurate and compliant ICD-10-CM, CPT, and/or HCPCS codes for obstetric, gynecologic, surgical, and procedural services, in alignment with payer guidelines and national coding standards.
• Maintains current knowledge of updates and changes specific to OBGYN coding through review of bulletins, newsletters, periodicals, and participation in coding workshops and professional development opportunities.
• Abstracts codes and other required clinical and billing information from EMR systems for timely and accurate claim submission, charge capture, and reporting.
• Identifies and recommends corrections for coding and charge capture discrepancies; initiates edits and appeals to improve claim success rates and reduce denials for OBGYN services.
• Collaborates in the development and refinement of departmental coding policies and procedures for obstetrical and gynecologic care, including surgical procedures, ultrasounds, prenatal care packages, and diagnostic testing.
• Tracks payer denials and appeals specific to OBGYN services; contributes to resolution strategies and implements changes to reduce future denials.
• Reviews charge tickets, operative notes, ultrasound reports, and E&M documentation for accuracy and completeness in coding and modifier usage.
• Conducts periodic audits of coded OBGYN encounters to ensure compliance with documentation and billing standards.
• Prepares and analyzes complex reports related to reimbursement, denial trends, and coding productivity for OBGYN providers and department leadership.
• Participates in the training and onboarding of new coders and providers within the department.
• Performs other related duties and functions as necessary to support the operational efficiency and revenue cycle integrity of the Department of OBGYN.
• Perform other related duties and participate in special projects as assigned.