What are the responsibilities and job description for the Reimbursement Coding Specialist (Research Billing Analyst II) - Revenue Cycle position at University of Illinois?
Reimbursement Coding Specialist (Research Billing Analyst II) - Revenue Cycle
Hiring Department : Revenue Cycle
Location : Chicago, IL USA
Requisition ID : 1016765
Posting Close Date : March 3, 2025
Position Number : CE6871,CE6872
Salary Range (commensurate with experience) : $33.33 - 40.00 / Hourly Wage
About the University of Illinois Hospital & Health Sciences System (UI Health)
The University of Illinois Hospital & Health SciencesSystem (UI Health) provides comprehensive care, education, and research to thepeople of Illinois and beyond. A part of the University of Illinois at Chicago(UIC), UI Health comprises a clinical enterprise that includes a 495-bedtertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Centerfacilities, which are Federally Qualified Health Centers. It also includes theseven UIC health science colleges : the College of Applied Health Sciences; theCollege of Dentistry; the School of Public Health; the Jane Addams College ofSocial Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regionalcampuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Healthis dedicated to the pursuit of health equity.
This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits
Description :
The Reimbursement Coding Specialist (Research Billing Analyst II) is an integral member of the Office of Clinical Research Finance. Under the direction of the Clinical Research Finance Director, the Research Billing Analyst will promote and facilitate a culture of research financial compliance according to established research billing best practices, policies and procedures for clinical research studies to ensure institutional adherence with Federal, State, and Local Regulations and Guidelines.
Duties & Responsibilities :
- Monitor and manage accounts where services related to a clinical trial are involved.
- Ensure that all charges for facility and professional fees arising from clinical research protocol visits and services are consistently segregated and billed to the appropriate payer and / or sponsor, submitted on correct claims with proper codes, modifiers and NCT number, and properly reimbursed, avoiding efforts in managing denials and mitigating risks of double-billing to both a study sponsor and an insurer.
- Review and work potential research charges using guidance provided such as Coverage Analysis, study participant tracking calendars, clinical trial management systems (CTMS), correct coding initiatives (CCI) and coding guidelines.
- Utilizes coding expertise and sound knowledge of medical coding rules and regulations in the context of clinical research trials to assign CPT codes to the items and services listed on the Coverage Analysis and make sure that issues related to compliance reimbursement bundling, unbundling and fragmentation of coding information are considered addressed prior to claims adjudication.
- Identifies medical claims system coding issues.
- Coordinates with the revenue cycle claims team to investigate rejected or denied claims to see why denial was issued and work in collaboration with other areas to correct.
- Ensure the Epic Research Study Record is correctly populated with the data elements per operational requirements for clinical trial associated billing accounts.
- Responsible for producing research financial reporting, including invoicing departments for study sponsored charges.
- Serve as an important contact to the Research community in problem resolution and the monthly distribution of research related transactions.
- Routinely interact with internal departments, study teams, and provide training related to research billing when needed.
- Serve as a centralized point of contact for specific billing issues related to research billing.
- Assist in training research coordinators on proper billing for clinical trials and participate in ongoing research education seminars. Target areas of concentration where notification and documentation standards are not met.
- Willingness to engage in continual education and training in the subject field.
- Participate in department projects and initiatives to support research billing compliance tasks as needed. Assigned to special projects as they occur.
- Performs duties listed in lower level of this classification series.
- Performs other related duties as assigned.
- Perform other related duties and participate in special projects as assigned.
Minimum Qualifications Required :
Preferred Qualifications :
To Apply : For fullest consideration click on the Apply Now button , please fully complete all sections of the onlineapplication including adding your full work history with specific details ofyour duties & responsibilities for each position held. Fully completethe education, licensure, certification and language sections. Youmay upload a resume, cover letter, certifications, licensures, transcripts anddiplomas 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 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, COVID-19 vaccination requirement, and employment eligibility review through E-Verify.
The university provides accommodations to applicants and employees. Request an Accommodation
Salary : $33 - $40
