Rush University Medical Center ยท 13 hours ago
Billing Coding Auditor-23865
Chicago, IL
Full-time
Onsite
Mid, Senior Level
$29.36/hr - $47.79/hr
5+ years expRush University Medical Center is seeking a Billing Coding Auditor who utilizes advanced knowledge of billing, coding, and auditing to ensure accurate and timely charge capture. The role involves monitoring software, providing education to departments, and resolving complex billing scenarios to enhance revenue integrity.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Use logic-based critical thinking and decision making to accurately assess and trouble-shoot documentation, images, visit records, registration issues, physician orders, attestations, physician signatures, charges, CPT, HCPCS, ICD-10, and modifiers on patient accounts for hospital/facility (HB) and professional (PB) charges in accordance with CMS and AMA guidelines
Responsible for accuracy on all accounts within the assigned Epic Work queues and ancillary software systems
Solve edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner
Assess the available charges in the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT/HCPCS code and pricing for applicable accounts being reviewed
Reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
Works with external vendors, interfaced software, and ancillary software to review charge capture opportunities and documentation to identify missed charges and correct accounts
Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges
Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts
Collaborates with operational departments to ensure accurate and complete medical records and charges
Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager
Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement
Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities
Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned
Qualification
Required
Coding credential or certification from AAPC, AHIMA, or specialty-specific credentialling organization
Minimum of 1 year of Epic HB & PB WQ and Charge entry experience
Minimum of 5 years of healthcare experience working with billing, charge entry, charge capture, and code auditing with knowledge of CPT, HCPCS, ICD-10 codes and modifiers
High School diploma
Experience with practice management software
Medical terminology, familiarity with technical billing
Self-starter, can work independently
Ability to handle multiple, changing priorities
Good organizational skills and ability to work as a team member
Preferred
Some college
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
10001+ employees
H1B Sponsorship
Rush University Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (85)
2023 (64)
2022 (81)
2021 (65)
2020 (66)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Richa Gupta
Chief Operating Officer, Rush University Medical Group
Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
Recent News
GlobeNewswire
2026-01-02
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