Hiring Certified Professional Coder Instructor
Dallas, TX jobs
Graduate America is seeking a Certified Professional Coder (CPC) to join our team as an Adjunct Instructor! Share your industry expertise and help shape the future of medical coding professionals. Requirements: CPC, CCS, or equivalent certification 3+ years of coding experience (hospital or outpatient preferred)
Teaching experience a plus, but not required
Apply today and inspire the next generation!
OUTPATIENT SURGERY CODER
Columbus, OH jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **OUTPATIENT SURGERY CODER.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHLIGHTS** This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities.
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC)
+ Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding
+ Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type
+ Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service
+ Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
+ Equivalent experience/education may be considered
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$68,244.00 annual
**Pay Range Maximum:**
$97,740.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Certified Coder Appeals, Remote
Remote
Remote, KY 40601
Shift: First Shift (United States of America) Summary: : The job summary for this position is not currently on file electronically. Please see your supervisorr or Human Resources Representative for a hard copy before you complete your acknowledgment.Additional Job Description:
Auto-ApplyCoder I, Hospitalist, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: TBD:
WE ARE HIRING!
About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
The team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
JOB RESPONSIBILITIES
Essential Functions:
Coding (60% Weight)
Obtain copies of chart notes, reports, electronic medical records, and any other necessary records for purpose of review
Comply and communicate deficiencies that impact the billing process.
Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.
Abstract patient evaluation and management services, including consultations, and bedside procedures for the purpose of selection of the appropriate HCPCS code(s), ICD-9 code(s), and modifier(s)
Follow production and quality standards for coders as established.
Compliance (20% Weight)
Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing
Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing
Communication/Education (10% Weight)
Develop daily/weekly communication with providers.
Provide comments/suggestions relative to weak areas identified in the coding reviews.
Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.
Responds in a timely manner to questions from providers, department representatives.
Maintain compliance with rules and regulations regarding coding.
Constant reviews of incoming Fee Tickets to ensure compliance standards are met.
Ability to work within a team environment and meet monthly goals.
Other duties as assigned.
Coders will be audited on a quarterly basis by ULP Compliance/Audit Services Department with including discussion and feedback.
Trial Period (internal applicants only):
It is understood that current Employees must complete a trial period of 10 business days during which the established productivity level must be maintained in order to continue participation in this program. Failure to maintain the established productivity requirements may require Employee to return to the Heyburn campus as Employee's primary work site.
Additional Job Description:
MINIMUM EDUCATION & EXPERIENCE
High School education or GED required.
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.
SELECTION/ELIGIBILITY
Application
Current CBO employees must apply to internal remote position in order to be considered
Positions will be selected based in order of the following criteria:
Metrics
Attendance
Disciplinary action
Current employees must meet the following criteria in order to be considered for remote positions within the CBO:
90 days of consistent achievement of/or exceeding metric standards
No attendance or disciplinary actions within previous 6 months
Able to work independently and manage time
KNOWLEDGE, SKILLS, & ABILITIES
Ongoing coding guideline knowledge is required
Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures
Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions.
Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources
Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-9-CM, ICD-10-CM code
Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
Strict compliance with all coding guidelines at all times.
Working in a highly accurate and yet efficient manner.
Strict attention to detail in both coding and EMR entries.
WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required
JOB REQUIREMENTS
Candidates upon hire will complete an electronic I-9 verification.
Only those candidates whose experience best meets our requirements will be contacted.
University of Louisville Physicians is an Equal Opportunity Employer.
Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.
Auto-ApplyCoder II - Profee (Cardiology Coding)
Pittsburgh, PA jobs
UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our team! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution.
We are looking for coders with prior experience in cardiology coding to join the team. If you are ready to take the next step in your coding career, look no further!
Responsibilities:
* Utilize computer applications and resources essential to completing the coding process efficiently.
* Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff.
* Refer problem accounts to appropriate coding or management personnel for resolution.
* Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.
* Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement.
* Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
* Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
* Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics.
* Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management.
Qualifications:
* High school graduate or equivalent.
* In lieu of 2 years of coding experience with schooling, a minimum of 3 years of experience or CPC certification is required.
* Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.
* Proficient computer skills with MS excel knowledge preferred.
Licensure, Certifications, and Clearances:
* Eligible for CPC or CPC specialty certification.
* Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Certified Specialty Coder- Three Rivers Orthopedics
Pittsburgh, PA jobs
Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with the potential for work-from-home flexibility after training
Responsibilities:
* Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements.
* Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
* Perform all coding functions, based on staffing needs and/or department requirements.
* Refer problem accounts to appropriate coding or management personnel for resolution.
* Maintain daily productivity statistics and submits a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Balance daily charges to data entry, forwarding results to departmental designee.
* Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed.
* Assess current CPT guidelines as well as other applicable payer coding policy changes.
* Lead, participate in and/or assist with departmental coding audits.
* Identify incomplete documentation in the medical record and formulates a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
* Incorporate into departmental procedures and communicates changes to coders and providers.
* Adhere to internal department policies and procedures to ensure efficient work processes.
* Maintain required CPC or CSS-P certification and continuing education by attending seminars, reviewing updated CPT Assistant guidelines and updated coding clinics.
* Adhere to department time goal for final coding entry to prevent charge lags.
* If applicable, abstract required medical and demographic information from the medical record and enters the data into the appropriate information system to ensure accuracy of the database. Responsible for correcting any data to be in error after reviewing the medical record and comparing with system entries.
* Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame established by management staff.
* Advise and instruct providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification.
* Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.
* Demonstrate proficiency on billing system functionality as related to claim edit/charge review queues, as well as reimbursement denials.
* Complete work assignments in a timely manner and understands the workflow of the department.
* Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system.
* Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards.
* Analyze and interpret patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services.
* Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories.
* Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements.
Qualifications:
* High school diploma or GED is required.
* Graduation from an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program preferred.
* 3 years of coding experience in the applicable medical specialty is required.
* Advanced knowledge of medical coding and billing systems and regulatory requirements is required.
* Ability to provide training, guidance, and operational support to lower level staff within area of specialty is required.
* Experience and knowledge of accurate DRG and APC assignment is essential.
* A
bility to problem solve and be knowledgeable in advanced medical terminology, human anatomy/physiology, pharmacology, pathology and the principles of ICD-9-CM and CPT Classification Systems and DSM IV, if applicable.
* Proficient computer skills, including working knowledge of MS Excel and MS Access, is preferred.
Licensure, Certifications, and Clearances:
* Certified Professional Coder (CPC)
* Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Inpatient Coding Review Specialist (H)
Medley, FL jobs
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely.
The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures.
CORE JOB FUNCTIONS
* Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process.
* Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment.
* Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators.
* Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting.
* Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary.
* Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines.
* Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement.
* Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists.
* Assists in resolving claim edits across all accounts, regardless of the initial coder assignment.
* Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved.
* Meets or exceeds established quality and productivity benchmarks set by leadership.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
* High School diploma or equivalent
* Refer to department description for applicable certification requirements
* Minimum 5 years of relevant experience
* Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
* Teamwork: Ability to work collaboratively with others and contribute to a team environment.
* Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
* Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
Auto-ApplyCoding Specialist
Minneapolis, MN jobs
Why M Physicians? The Coding Specialist is responsible for the accurate and timely coding of complex services. This role is responsible for ensuring accurate diagnoses, procedure codes and other specified data to ensure appropriate/efficient reimbursement for facility charges applying information from medical records and following established methods and procedures!
What you will do as a Coding Specialist:
Codes intermediate to complex diagnostic, evaluation and management, surgical and procedural coding services (may include inpatient coding)
Performs coding quality reviews on a monthly basis; shares findings with staff
Ensures that all charges are brought together by applying reports or processes daily and following up accordingly
Communicates with Providers, Billing Operation Managers and clinic staff regarding documentation, coding issues or to provide ongoing education
Assists in research and resolves issues in a timely manner and provide feedback to management and/or providers
Partners with patient/care-giver/management in care/decision making
What you will need:
HS grad or equivalent coupled with CCS, CCS-P, CPC, CPC-A, CCA, RHIT, and/or RHIA certification
Minimum 2 years experience coding; proficient in basic coding and successfully able to handle more sophisticated coding assignments
Proficient in CPT and ICD-10-CM coding or professional and medical facility coding
Ability to use medical billing systems
Good analytical skills; ability to identify problems or issues and provide positive solutions or outcomes
Good attention to detail and highly organized
Location: At this time, the position will be working remote.
Hours: 1.0 FTE (Monday-Friday)
Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!
Compensation:
22.47 - 32.58 USD Hourly
At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.
University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.
Join us on a mission to advance medicine.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Auto-ApplyMedical Coding Auditor
El Paso, TX jobs
Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met.
Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance
Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines
Identify and address coding discrepancies and recommend corrective actions
Prepare detailed audit reports with findings and provide feedback on documentation and coding practices
Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations
Stay current with changes in coding guidelines, healthcare regulations, and payer policies
Assist in developing and refining audit tools, policies, and procedures to support continuous improvement
Monitor and track corrective actions post-audit, ensuring follow-up to resolve identified issues
Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition, indicators, procedure dates of service, etc.
Adhere to physician and facility coding guidelines and coding policy and procedures, as needed
Lead coding/charge posting team communications/huddles, projects, and communicate Key Performance Indicator (KPI) requirements as determined by the Medical Coding Auditor Manager
Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors)
Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately
Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings, and presenting in various settings, including senior leadership
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSCEP OPs, etc.)
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
Perform all other duties as assigned
Performs duties in-person or remotely, as approved, ensuring consistent availability, productively and responsiveness during established work hours
5 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Prior experience reviewing medical records to ensure accurate coding and compliance with regulatory requirements in an academic medical or health sciences center
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Bachelor's degree in business or related field with one year of related experience OR combination of education and/or related experience to equal 5 years
Minimum 2 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist)
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: **************************************************
Certified Coder (Remote) - Surgery
Remote
Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description
Primary Duties & Responsibilities:
Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.
Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
Assists with efforts to increase physician awareness of documentation requirements.
Prepares case reports and initiates follow-up for billing process.
Working Conditions:
Job Location/Working Conditions
Normal office environment.
Physical Effort
Typically sitting at desk or table.
Equipment
Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications
Education:
A diploma, certification or degree is not required.
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.More About This JobRequired Qualifications:
Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Preferred Qualifications:
Previous coding experience or experience equivalent to an associate's degree in a related field.
Knowledge of ICD-10 and CPT coding.
Preferred Qualifications
Education:
Associate degree - Medical Coding & Billing
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: ******************************
EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
Auto-ApplyEdits Coder
Campus, IL jobs
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote HIGHLIGHTS The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines.
PRIMARY JOB RESPONSIBILITIES
* Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services.
* Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes.
* Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes.
* Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors.
* Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor.
* Performs special projects or other duties assigned.
* May perform the work of lower level classifications of the Coding Specialist series.
REQUIRED POSITION QUALIFICATIONS
High school diploma or equivalent
AND
Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
AND
One year coding experience or equivalent education/experience.
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.
Compensation, Benefits and Position Details
Pay Range Minimum:
$59,976.00 annual
Pay Range Maximum:
$85,848.00 annual
Other Compensation:
* Benefits:
For information about benefits for this position, visit ******************************************************
Shift:
First Shift (United States of America)
Temporary or Regular?
This is a regular position
FTE (Full-Time Equivalent):
100.00%
Union/Bargaining Unit:
SEIU Local 925 Nonsupervisory
About the UW
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
Our Commitment
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.
To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********.
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
Medical Coder I/II
Macon, GA jobs
Application Instructions:
External Applicants: Please upload your resume on the Apply screen. Your application will automatically populate your resume details, and you may verify and update data on the My Information page.
IMPORTANT: Please review the job posting and load ALL documents required in the job posting to the Resume/CV document upload section at the bottom of the My Experience application page. Use the Select Files button to add multiple documents including your Resume/CV, references, cover letter, and any other supporting documents required in the job posting. The "My Experience" page is the only opportunity to add your required supporting document attachments.
You will not be able to modify your application after you submit it
.
Current Mercer University Employees: Apply from your existing Workday account. Do not apply from the external careers website. Log in to Workday and type Jobs Hub in the search bar. Locate the position and click Apply.
Job Title:Medical Coder I/II
Department:Mercer Medicine
College/Division:School Of Medicine
Primary Job Posting Location:
Macon, GA 31207
Additional Job Posting Locations:
(Other locations that this position could be based)
Job Details:Mercer Medicine is searching for a Medical Coder for the Macon, Georgia clinic.
Responsibilities:
The Medical Coder I/II will evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient encounters. Provide technical guidance to physicians and other department staff in identifying and resolving issues or errors. This coder will work under minimal supervision.
Qualifications:
High school diploma/GED.
Coder I: At least one year of coding experience or 6 months of coding experience with an accompanying certificate from an accredited facility/institution.
Coder II: AHIMA or AAPC certification is required along with 1 year of experience using ICD and CPT in a physician practice, hospital, or clinic.
Knowledge/Skills/Abilities:
Know and understand the relationship between CPT and ICD and the assignment of codes in order to accurately bill for physician services.
Ability to effectively communicate with all levels of health care providers in order to query for specific coding information.
Resolves any questions concerning diagnoses, procedures, clinical content of record or code selection through research and communication to bill at correct level of reimbursement.
Knowledge of Medicare and Medicaid [CMS] regulations for reimbursement and timeliness of claims submission.
Maintain confidentiality of patient information, employee information and other information covered by regulations and professional ethics.
Understanding of billing cycle and its effect on revenue.
Understanding of commercial insurance contractual adjustments and balance billing.
Background Check Contingencies:
- Criminal History
Document Attachments:
- Resume
- Cover letter
- List of three professional references with contact information
Why Work at Mercer University
Mercer University offers a variety of benefits for eligible employees including comprehensive health insurance (for self and dependents), generous retirement contributions, tuition waivers, paid vacation and sick leave, technology discounts, schedules that allow for work-life balance, and so much more!
At Mercer University, a Bear is more than a mascot: it's a frame of mind that begins with a strong desire to make the most out of your career. Mercer Bears do not settle for mediocrity or the status quo. If you're seeking an environment where your passion and determination are embraced, then you want to work at Mercer University.
For more information, please visit: **********************************
Scheduled Weekly Hours:40
Job Family:Staff Clinical Services Non-exempt
EEO Statement:
EEO/Veteran/Disability
Auto-ApplyCoder Outpatient | HIM Revenue Cycle | Full Time | Variable - Remote
Gainesville, FL jobs
FTE- 1.0 Full Time - Variable shift - Remot - FL, GA, MO, PA, SC, TN and TX. Codes outpatient medical records using ICD-9-CM and CPT-4 classification systems, ensuring accurate and complete coding and charge entry for all assigned cases. Enters coding and patient information into appropriate billing and abstracting systems, while identifying and correcting data discrepancies to support accurate reimbursement and reporting.
Qualifications
Minimum Education and Experience Requirements
Education & Knowledge
* High school graduate or equivalent.
* Knowledge of medical terminology and human anatomy and physiology required.
Experience
* Minimum 6 months of acute care hospital outpatient coding experience required.
Required Credentials
* RHIA, RHIT, CCS, CCA, CPC, or CPC-H is required.
Motor Vehicle Operator Designation
Employees in this position may operate vehicles for assigned business purposes as a non-frequent driver.
A "frequent driver" is defined as an employee who:
* Uses their personal or organizational vehicle at least once daily, or
* Makes five or more individual trips per week, or
* Drives over 150 miles per week, on average, for job-related duties.
The appropriate operator designation must be indicated on the Request for Personnel (RFP) form when the position is posted.
Licensure / Certification / Registration
* RHIA, RHIT, CCS, CCA, CPC, or CPC-H required.
Medical Coding Specialist
Atlanta, GA jobs
Welcome to Piedmont Cancer Institute - where patient care is more than a mission; it's a partnership and our values lead the way. For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlanta community, delivering exceptional cancer care built on a foundation of Compassion, Innovation, Communication, and Integrity. Today, our team includes 17 dedicated physicians, 20 skilled Advanced Practice Providers, across 6 locations (and growing) -all united in our commitment to excellence.
At PCI, we blend cutting-edge treatments with deep clinical expertise and genuine compassion to offer truly comprehensive care. Our dedication goes beyond medicine-it's reflected in how we care for our patients, support their families, and collaborate with one another. No matter your position, a career at PCI offers more than a paycheck. It's a place where purpose meets passion, where connection fuels collaboration, and where your work makes a lasting impact.
Why Join PCI?
We're looking for talented individuals who share our passion for making a difference. If you value Compassion, embrace Innovation, prioritize open Communication, and act with Integrity, you'll thrive at Piedmont Cancer Institute-where every role plays a part in advancing hope and healing in our community. Here, you'll find purpose in your work.
Job Description:
This position is responsible for risk auditing physician documentation for appropriate CPT E&M and ICD-10-CM coding compliance and reporting this information back to management. Assist with medical record review to assure appropriate compliance. Excellent verbal and written communication skills required for reporting findings to management and physician leadership.
KEY RESPONSIBILITIES AND DUTIES
Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of hematology and oncology and effectively applies this knowledge.
Abstracts pertinent information from the medical records and analyzes for appropriate CPT code and assigns appropriate ICD-10-CM codes as it pertains to Clinical Condition Categories based on CMS HCC categories.
Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Assists with third party payors and other audit requests by compiling, organizing, and reviewing chart documentation as needed.
Assists practice leadership and has a CDEO, CRC, or CPC certification to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.
Assists with monitoring and reporting to practice leadership matters related to coding compliance.
Assists in the development of procedure manuals related to coding and billing compliance.
Demonstrates outstanding work ethic and works cooperatively with all team members and management.
JOB REQUIREMENTS
Must have a Professional coding certification; CDEO, CRC or CPC certification preferred
Minimum of 3 years coding experience while holding certification is required, oncology experience a plus
Extensive knowledge of CPT E&M coding and ICD-10-CM outpatient diagnosis coding guidelines with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred
KNOWLEDGE, SKILLS, AND ABILITIES
Must have transportation to possibly travel to various Piedmont Cancer Institute PC sites around the Atlanta area to conduct audits of records.
Knowledge of government, legal and regulatory provisions related to collection activities.
Knowledge of government programs, i.e., Medicare and Medicaid.
Knowledge of insurance company's policies and procedures.
Knowledge of CPT, ICD-10-CM, and HCPCS coding.
Knowledge of anatomy and medical terminology.
Ability to prioritize work and manage time efficiently.
Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data.
Effective communication skills at all levels within an organization and excellent customer service skills.
Piedmont Cancer Institute is an Equal Opportunity Employer.
Job Type: Full-time
Pay: From $26.00 per hour
Benefits:
401(k)
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Medical Specialty:
Hematology
Oncology
Physical Setting:
Clinic
Outpatient
Auto-ApplyCoding & Reimburs Spec
Amarillo, TX jobs
Abides by the Standards of Ethical Coding as set forth by the American Association of Professional Coders (AAPC) and adheres to official coding guidelines and the Values Based Culture of Texas Tech University Health Sciences Center. Reviews official medical records with physician/healthcare provider documentation and assigns appropriate codes for all physician/healthcare provider services from current editions of official coding sources; ensures accurate, complete, and timely code assignments for all physician/healthcare provider services to include procedural, diagnosis, and supplies in all places of service.
Responsible for accurate coding and billing of patient encounters, including processing insurance denials and performing detailed data entry.
Collaborates closely with providers to communicate coding updates, ensure compliance with current guidelines, and provide education on evolving coding trends.
High School graduate or equivalency required. A combination of coding and reimbursement or Medical billing experience, preferably in a physician group or health care institution to equal two years. Must include procedural and diagnosis coding; prefer experience in academic health care setting. OR High School graduate or equivalency required. Current coding certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) Certification to remain current during term of employment.
Medical Records Coder-Senior (Dental)
San Antonio, TX jobs
Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
Medical Records Coder-Senior (Dental)
San Antonio, TX jobs
Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
Responsibilities
Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
Works coding related charge review and claim edits daily to ensure timely and accurate billing.
Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
Contacts other facilities to obtain medical records and information need to bill for services rendered.
Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation.
Reviews charge documents for completeness.
Updates coding books with changes as accepted and published by regulatory agencies.
Performs all other duties as assigned.
Qualifications
Proficiency in ICD-10 and CPT coding.
In-depth understanding of medical terminology, anatomy and physiology.
Meticulous attention to detail and accuracy.
A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
Strong verbal, written and interpersonal communication skills.
EDUCATION:
High school diploma or GED is required.
PREFERRED:
Dental Coding experience.
LICENSES & CERTIFICATIONS:
Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification ,National Healthcareer Association-Certified Billing and Coding Specialist (CBCS) or American Academy of Professional Coders (AAPC)-Certified Professional Coder (CPC) is required.
Auto-Apply7335-Temporary Professional
Pasadena, TX jobs
Temporary Worker/Temporary
Additional Information: Show/Hide
Education:
Essential:
* Bachelor's of be a current substitute teacher
Medical Coding & Billing Spec
Denton, TX jobs
Title: Medical Coding & Billing Spec
Employee Classification: Medical Coding & Billing Spec
Campus: University of North Texas
Division: UNT-Student Affairs
SubDivision-Department: UNT-Student Health and Wellness
Department: UNT-Health & Wellness-Gen-160700
Job Location: Denton
Salary: 41,640
FTE: 1.000000
Retirement Eligibility: TRS Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and the University of North Texas Health Science Center at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000+ students across our system, and awarding nearly 12,000 degrees each year. We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team. Learn more about the UNT System and how we live our values at ******************
Department Summary
The University of North Texas (UNT) Student Health and Wellness Center is a full-service medical center offering all UNT students general wellness and specialty medical care. We are staffed with licensed physicians, nurse practitioners, physician assistants, certified lab technologists, psychiatric nurse practitioners, licensed nurses, and medical assistants.
Position Overview
Acts as primary billing/checkout clerk. Assists the Billing Supervisor with opening/closing the department. First point of contact within the Billing Department as a customer service representative.
Minimum Qualifications
High school diploma/GED equivalent and three years of general office or clerical experience. Substitution of education for experience allowed.
Knowledge, Skills and Abilities
Ability to problemsolve and make decisions. Skill in recording and compiling material for reports. Excellent oral and written communication skills. Ability to work independently with limited supervision. Ability to professionally handle clients in stressful situations with empathy and composure.
Preferred Qualifications
The preferred candidate will possess the following additional qualifications: Previous medical office experience. Previous customer service experience.
Required License/Registration/Certifications
Job Duties
% - Presents a professional demeanor when interacting with internal and external customers. Follows appropriate chain of command. - ()
% - Participates in all mandatory SHWC trainings and meetings, including committees, as assigned. Practices and follows proper privacy and security regulations. - ()
% - Participates/volunteers with SHWC events, including internal events, orientations, etc. - ()
% - Checks out patients, ensuring that insurance information is correct and followups are scheduled as necessary, process and posts payments. Provide information on parking, no show fees, ancillary fees, and services provided. - ()
% - Provides phone and billing window coverage. - ()
% - Assists with opening and closing job duties as assigned. - ()
% - Maintains security of cash fund and deposit which includes being assigned a cash bag at beginning of shift, collecting payments throughout the day, and accurately posting individual deposit at end of shift. - ()
% - Other duties as assigned. - ()
Physical Requirements
Environmental Hazards
Work Schedule
Mon-Fri 8:00 am- 5:00 pm
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit -- and takes actions to prevent -- discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking) and retaliation on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status in its application, employment practices and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist or participate in an investigative proceeding or hearing.