Certified Coder - Illinois

Job Summary

To ensure accurate and timely billing of laboratory services, the full-time Certified Coder - Illinois will manage CPT/HCPCS coding inquiries, resolve billing-related issues, and collaborate with internal departments while working remotely during daytime hours.

Key responsibilities

• Resolve lab-related CPT, HCPCS, and ICD-10 inquiries for internal and external parties
• Edit laboratory test charges to ensure appropriate coding and modifiers are applied
• Research and resolve assigned billing reports and work queues for registration errors and claim edits

Required qualifications

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist - Physician-Based (CCS-P), or Certified Coding Specialist (CCS) certification
• Experience in revenue cycle and coding
• Understanding of compliance, regulatory, and billing rules specific to laboratory services
• Proficiency with electronic medical record systems and Lab Information Systems
• Knowledge of medical terminology and payer-specific guidelines