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University of Utah
Salt Lake City, UT, United States
10 days ago
University of Utah
Salt Lake City, Utah, United States
10 days ago

Description

REMOTE WORK OPPORTUNITY. Provides coding, revenue cycle, compliance support, and education to multi-specialty physicians, other qualified health care professionals (e.g., Nurse Practitioners, Physical Therapists, Midwives), support staff and administration. Auditor will monitor coding and billing activities to ensure activities performed are compliant with federal and state statutes/regulations. Auditor will review for clinical documentation improvement opportunities and revenue cycle efficiencies and report recommendations to the appropriate stakeholders.

University of Utah Job ID #PRN31762B -00209 - Univ Medical Billing - Oper

COMPENSATION: 26.92 to 34.95

WORK SCHEDULES: Full Time. As arranged

RESPONSIBILITIES:

  1. Reviews and audits professional coding and billing from multiple departments and entities of University Health Care.
  2. Reports on the accuracy of procedure, E&M, ICD-10 coding and billing to ensure compliance with payer, legal and procedural policies.
  3. Reviews billing and revenue cycle processes for accuracy and process improvements.
  4. Identifies inaccurate coding practices; prepares reports of findings and meets with providers and medical office staff in-person to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies.
  5. Conducts education and training to department staff and clinical employees in correct documentation processes and coding guidelines.
  6. Provides education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state, and payer specific) and health insurance processing.
  7. Meets productivity and accuracy expectations of the position.
  8. Ad hoc projects as assigned.
  9. Other duties as assigned.

Problem Solving
Incumbent must have intricate knowledge of coding rules as outlined by CMS, AHA AMA. S/he must be able to identify areas or items which are not in compliance with the rules, present findings in a coherent and succinct format to diverse groups (e.g. physicians, nurses, administrators/directors coders, billers) and recommend appropriate changes to policies and procedures.
DISCLAIMER
This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Work Environment and Level of Frequency typically required

Nearly Continuously: Office environment.

Physical Requirements and Level of Frequency that may be required

Nearly Continuously: Sitting, hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking.

Seldom: Bending, reaching overhead.

QUALIFICATIONS:

American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department, plus 4 years coding, clinical, or billing experience. Departments may prefer specific certifications over others. 
Demonstrated human relations and effective communication skills also required; proficiency with medical terminology. 
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

PREFERENCES:

  • Proficiency with computer software such as Microsoft Word and Excel (e.g., pivot tables, data manipulation)
  • Proficient and confident in writing, communication and presentation skills
  • Experience and understanding of Federal regulations and payer policies with the ability to interpret the information
  • Problem solving skills with the ability to identify and analyze for root causes

TO APPLY, VISIT: https://utah.peopleadmin.com/postings/137506

EQUAL EMPLOYMENT OPPORTUNITY:

The University of Utah values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both. oeo@utah.edu



Job Information

  • Job ID: 64979665
  • Location:
    Salt Lake City, Utah, United States
  • Position Title: Coding Auditor (PRN31762B)
  • Company Name For Job: University of Utah
  • Job Function: Medical Coder
  • Salary: $26.92 - $34.95 (Hourly Wage)
Salt Lake City , Utah , United States

Please refer to the company's website or job descriptions to learn more about them.

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