Requisition Number: 10491
Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: ..
Location Name: Business Services Building
City: SALT LAKE CITY
State: UT
Department: UUH ISC 10R OP CODING
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders.
This position is not responsible for providing care to patients.
Responsibilities:
- Performs the final reconciliation on clinic or provider visits and resolves missing, incomplete, or inconsistent documentation by contacting appropriate personnel.
- Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
- Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.
- Researches and resolves high volume accounts, complex or escalated suspended claims, and compliance issues using appropriate databases and shares this information with other coding staff.
- Researches, interprets, and applies regulatory guidelines to coding and reimbursement decisions and educates staff on associated guidelines and resolutions.
- Assists in the auditing process.
- Trains Level 1 & 2 Coders and may serve as project lead.
- Assists with backlog to maintain department quality and productivity standards.
- Assists with other department coding needs as requested.
- May participate on committees and workgroups.
- May formally present information to providers and assist in training efforts regarding coding and billing.
Knowledge / Skills / Abilities:
- Demonstrated potential ability to perform the essential functions as outlined above.
- Demonstrated leadership, human relations and effective communication skills.
- Demonstrated potential ability to perform the essential functions as outlined above.
- Demonstrated human relations and effective communication skills.
- Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
- Demonstrated proficiency in computer software. (e.g. Microsoft Word and Excel).
- Ability to maintain certifications through Continuing Education Credits.
- Ability to train others.
- Knowledge of CMS, AMA, and AHA coding and billing guidelines.
Qualifications:
Required
- 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.
- Three years coding, clinical or billing experience.
Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: ..
Location Name: Business Services Building
City: SALT LAKE CITY
State: UT
Department: UUH ISC 10R OP CODING
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders.
This position is not responsible for providing care to patients.
Responsibilities:
- Performs the final reconciliation on clinic or provider visits and resolves missing, incomplete, or inconsistent documentation by contacting appropriate personnel.
- Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
- Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.
- Researches and resolves high volume accounts, complex or escalated suspended claims, and compliance issues using appropriate databases and shares this information with other coding staff.
- Researches, interprets, and applies regulatory guidelines to coding and reimbursement decisions and educates staff on associated guidelines and resolutions.
- Assists in the auditing process.
- Trains Level 1 & 2 Coders and may serve as project lead.
- Assists with backlog to maintain department quality and productivity standards.
- Assists with other department coding needs as requested.
- May participate on committees and workgroups.
- May formally present information to providers and assist in training efforts regarding coding and billing.
Knowledge / Skills / Abilities:
- Demonstrated potential ability to perform the essential functions as outlined above.
- Demonstrated leadership, human relations and effective communication skills.
- Demonstrated potential ability to perform the essential functions as outlined above.
- Demonstrated human relations and effective communication skills.
- Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
- Demonstrated proficiency in computer software. (e.g. Microsoft Word and Excel).
- Ability to maintain certifications through Continuing Education Credits.
- Ability to train others.
- Knowledge of CMS, AMA, and AHA coding and billing guidelines.
Qualifications:
Required
- 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.
- Three years coding, clinical or billing experience.