Top 9 Coder Jobs in Rockford, Il

Coding Appeals Specialist
OrthoIllinois —Rockford, IL
- $24.38 - $32.99 an hour
- Remote
- 5 years
- Research
- Microsoft Office
Quick Apply
4d
Medical Coding Specialist II - Inpatient
UW Health —Rockford, IL
- $29.37 - $44.04 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 2 years
- Disability insurance
- Health insurance
Reimbursement Specialist
UW Health —Rockford, IL
- $18.50 - $24.98 an hour
- Overtime
- Hospital
- Mid-level
- In-person
- Disability insurance
- Health insurance
3d
Financial Resource Specialist - Full-Time
Mercy Health System Corporation —Rockford, IL
- $18.65 - $27.97 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid parental leave
- Health savings account
Quick Apply
12d
Financial Resource Specialist - Day Shift
Mercy Health System Corporation —Rockford, IL
- $18.65 - $27.97 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid parental leave
- Health savings account
Quick Apply
12d
Patient Financial Services Specialist II - Medicaid or Commercial
Beloit Health System —Beloit, WI
- $20.10 - $28.14 an hour
- 8 hour shift
- Mid-level
- High school diploma or GED
- Hospital experience
- Paid jury duty
- Paid holidays
Quick Apply
2d

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Medical Coding Specialist II - Inpatient
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Coding Appeals Specialist

OrthoIllinois -
Rockford, IL

Quick Apply

Job Details

$24.38 - $32.99 an hour
4 days ago

Qualifications

Appeals
Medicare
Medical coding guidelines
Research
Microsoft Office
High school diploma or GED
Medicare regulations
Clinical information systems
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Insurance claims appeal handling
Medical terminology

Full Job Description

Job Purpose:

The Coding Appeals Specialist is responsible for handling denied claims and associated tasks to resolve unpaid claims. The Coding Appeals Specialist is also responsible for submitting claim reconsideration requests, handling appeals, and correcting claims as needed.

Primary Duties and Responsibilities:

Investigates and handles denied claims and resolves unpaid claims

Creates and submits claim reconsideration requests, appeals, and corrected claims

Monitors resolution and payment from participating insurance carriers

Communicates with insurance companies for clarification of denials and status on appeal requests

Communicates with manager and billing staff payer specifications and/or policies regarding claims and payer denial trends

Researches and documents medical compliance issues as well as policy and procedures of government and private payer health plans related to billing

Reviews industry information including but not limited to regulatory bulletins and payer portals for process changes, communicating information with team

Documents all actions and communications in claim logs

Competencies:

Service: We align our actions and decision making with the organization’s guiding platform keeping our patients at the center of all we do.

Change Agent: We support and contribute to positive change in the organization.

Communication and Interpersonal Relations: We communicate honestly and with compassion to build connections with our patients and each other.

Effectiveness: We take ownership of work, doing the right thing for our customer and doing it well.

Organizational Culture:

All OrthoIllinois employees focus on service by putting the mission, vision, and value statements into practice and using the guiding principles of Compassion, Respect, Trust, Integrity, Innovation, Education Fiscal Responsibility, Practice Independence, Accountability, and Empowerment to direct their interactions and decision making. Employees promote and model the service standards to create lasting impressions, extraordinary moments, exceptional on-stage experiences, and meaningful and compassionate connections.

Education and Experience Requirements:

High School Diploma or GED required

A minimum of five years of experience in medical claim management

Advanced understanding of medical terminology

Advanced understanding of commercial insurance, Medicare and Medicaid billing and appeals process

Advanced understanding of CPT, ICD 10, HCPCS coding requirements; medical coding certification preferred

Advanced working knowledge of EHR and insurance and hospital portals

Basic working knowledge of Microsoft and Google Suites

Environmental/Working Conditions:

Working environment is in an office/clinic setting.

Physical/Mental Demands:

Sit, stand, walk, stoop or kneel, crouch or crawl, and climb stairs for long periods of time

Requires lifting, carrying and/or moving objects in a manner consistent with most office environments (generally, no more than 10 pounds on a frequent basis and 20 pounds on an occasional basis)

Possess full range of motion in shoulders and arms, including reaching above or below the shoulder

Finger dexterity; the ability to twist hands/wrists repetitively

Vision (e.g., depth perception, color vision, strong vision up close), hearing (e.g., high pitch sounds, soft or distant sounds)

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

coder jobs in rockford, il

Coding Appeals Specialist

Medical Coding Specialist II - Inpatient

Reimbursement Specialist

Financial Resource Specialist - Full-Time

Financial Resource Specialist - Day Shift

Patient Financial Services Specialist II - Medicaid or Commercial

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