Reimbursement Coding Representative
University of Illinois Chicago, Peoria, IL, United States
Hiring Department
Medical Billing
Location
Peoria, IL USA
Requisition ID
1039371
FTE
1
Work Schedule
Mon - Fri 8:00 - 4:30
Shift
Days
Number of Positions
1
Workplace Type
On‑Site
Posting Close Date
5/5/2026
Salary Range
$21.49 (commensurate with experience)
Position Summary
The Reimbursement Coding Representative works with departments and staff within the Medical Billing Service to review routine claim denials. The role may involve contacting payers or staff by telephone, email, or internet portal to correct CPT or ICD‑10 codes and submit appeals. Responsibilities are performed under direct supervision from the Health Care Compliance Officer.
Duties & Responsibilities
Reviews and corrects ICD‑10, HCPCS, and CPT codes of routine denied claims, applying knowledge of medical coding and communicating with providers, clinical, and billing staff to resolve discrepancies.
Composes correspondence to third‑party payers to resolve charge and billing problems through the appeal process.
Seeks guidance from or defers to Reimbursement Coding Specialists on complex issues.
Reviews and corrects claims in Epic coding queues to facilitate payment of open balances.
Confirms transmission and acceptance of submitted claims in the contracted clearinghouse or Epic, correcting rejections in work queues.
Provides benefit explanations to patients and staff and assists in validating accurate billing information.
Assists billing department staff to authorize routine adjustments as needed.
Attends training for certification maintenance and departmental needs.
Performs other duties and participates in special projects as assigned.
Benefits
This position is eligible for benefits including Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid Time Off, and Tuition waivers for employees and dependents.
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 (hospital, physician’s office, nursing home, billing agency) utilizing ICD‑10, CPT, and HCPCS coding systems.
College coursework relating to healthcare operations covering 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), Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC), or current certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist‑Physician‑based (CCS‑P), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA).
Preferred Qualifications
Skill in researching routine coding questions.
Ability to compose basic reports.
Equal Opportunity 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.
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Medical Billing
Location
Peoria, IL USA
Requisition ID
1039371
FTE
1
Work Schedule
Mon - Fri 8:00 - 4:30
Shift
Days
Number of Positions
1
Workplace Type
On‑Site
Posting Close Date
5/5/2026
Salary Range
$21.49 (commensurate with experience)
Position Summary
The Reimbursement Coding Representative works with departments and staff within the Medical Billing Service to review routine claim denials. The role may involve contacting payers or staff by telephone, email, or internet portal to correct CPT or ICD‑10 codes and submit appeals. Responsibilities are performed under direct supervision from the Health Care Compliance Officer.
Duties & Responsibilities
Reviews and corrects ICD‑10, HCPCS, and CPT codes of routine denied claims, applying knowledge of medical coding and communicating with providers, clinical, and billing staff to resolve discrepancies.
Composes correspondence to third‑party payers to resolve charge and billing problems through the appeal process.
Seeks guidance from or defers to Reimbursement Coding Specialists on complex issues.
Reviews and corrects claims in Epic coding queues to facilitate payment of open balances.
Confirms transmission and acceptance of submitted claims in the contracted clearinghouse or Epic, correcting rejections in work queues.
Provides benefit explanations to patients and staff and assists in validating accurate billing information.
Assists billing department staff to authorize routine adjustments as needed.
Attends training for certification maintenance and departmental needs.
Performs other duties and participates in special projects as assigned.
Benefits
This position is eligible for benefits including Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid Time Off, and Tuition waivers for employees and dependents.
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 (hospital, physician’s office, nursing home, billing agency) utilizing ICD‑10, CPT, and HCPCS coding systems.
College coursework relating to healthcare operations covering 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), Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC), or current certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist‑Physician‑based (CCS‑P), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA).
Preferred Qualifications
Skill in researching routine coding questions.
Ability to compose basic reports.
Equal Opportunity 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.
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