Reimbursement Coding Representative

at University of Illinois at Chicago in

Chicago, Illinois, United States Job Description Reimbursement Coding Representative Reimbursement Coding Representative Hiring Department:

Medical Billing Location:

Peoria, IL USA Requisition ID:

1039371

FTE:

1

Work Schedule:

M - F 8 - 4

30

Shift:

Days # of

Positions:

1

Workplace Type:

On-Site Posting Close Date:

5/5/2026 Salary Range (commensurate with experience): $21.49 Please note that this position is not remote and is onsite in Peoria, IL. About UICOMP The University of Illinois College of Medicine Peoria (UICOMP) educates 244 medical students and nearly 300 physician residents annually. It is one of four campuses that make up the nation's largest public medical school. The Peoria campus is known among students for its small class sizes, rigorous curriculum and hands-on clerkships; to residents and fellows for the strong academic setting, large referral base and exceptional facilities; and by physicians seeking the ideal combination of teaching and practicing medicine in a research-based university setting. This position is intended to be eligible for benefits. This includes Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid time Off, and Tuition waivers for employees and dependents. Position Summary The Reimbursement Coding Representative works with departments and staff within the Medical Billing Service to review routine claim denials. This may include contacting payers or staff by telephone, email or internet portal to correct CPT or ICD-10 codes and submitting appeals with the payer. Works under direct supervision from the Health Care Compliance Officer. Duties & Responsibilities Reviews and corrects, if necessary, ICD-10, HCPCS, and CPT codes of routine denied claims for resolution based on commercial insurance, CMS, and UICOMP guidelines. Applies a general knowledge of medical coding, in communication with providers, clinical and billing staff members via telephone or email to complete adjudication of denied claims or discrepancies in medical record documentation. Composes basic correspondence to third-party payers to resolve charge and billing problems via appeal process. The Reimbursement Representative will seek guidance from, or defer to, the Reimbursement Coding Specialists on complex issues. Reviews Epic coding work ques and corrects all errors delaying claim submission. Confirms the transmission and acceptance of submitted claims in either the contracted clearinghouse or Epic. Corrects claim rejections in work queues to facilitate payment of open balances. Provides explanation of benefit decisions by third-party payers to patients and staff. Reviews Epic queues for charges that no payment or denial have been received. Works closely with billing department staff to resolve and authorize routine adjustments as needed. Determines if proper information is included in billing system to ensure claims are accurate. Attends training for certification maintenance and departmental needs. Perform other duties and participate in special projects as assigned. Attends and participates in departmental staff meetings, coding meetings, or other meetings as requested.

Attends training for certification maintenance and departmental needs. Minimum Qualifications High school graduation or equivalent. Any one or any combination totaling 18 months from the following categories: Work experience in a healthcare setting (i.e., hospital, physician's office, nursing home, billing agency) utilizing ICD-10, and CPT coding systems, Healthcare Common Procedure Coding System (HCPCS), and the Current Procedural Terminology (CPT) systems of coding to assign codes for services provided to patients. College course work relating to healthcare operations includes the following topics such as Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses. 6 semester hours equals 6 months 12 semester hours equals 12 months 18 semester hours equals 18 months Current designation as Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification) or current certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) or Registered Health... For full info follow application link. The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Reporting Act. The University of Illinois Chicago is an affirmative action, equal opportunity institution/employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, sexual orientation, gender identity, veteran or disability status, height, weight, or marital status in employment or the provision of services. To view full details and how to apply, please login or create a Job Seeker account