by Irma Moore | May 24, 2024 | Uncategorized
What you will contribute:
- Reviews medical record information to identify all appropriate coding based on CMS, ICD-10-CM, modifiers, and HCPCS/CPT categories.
- Verifies and ensures the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
- Follows up with appropriate individuals or providers to obtain additional necessary records to resolve coding issues.
- Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement.
- Operates unique claim technologies in order to identify and resolve coding issues in order to submit clean claims.
- Assists and confers with other coders and Director of Coding concerning any problem records.
- Stays current with compliance and changing regulatory guideline.
- The ideal candidate will have:
- High School Diploma or GED (Required)
- 2+ year relevant work experience (Preferred)
- Surgical coding experience (Required)
- Certified Medical Coder (CPC) with high degree of competence in this area with two (2) years’ experience. (Required)
- Certified Orthopedic Surgery Coder (COSC) (Preferred)
- Must have foundational knowledge of medical terminology and anatomy.
- Ability to work with computer and online resources effectively and efficiently.
by Irma Moore | May 24, 2024 | Uncategorized
PRIMARY RESPONSIBILITIES:
- Supports Finance, Billing, Market Access, Product and Marketing teams on projects by preparing ad-hoc analysis and presentations as required.
- Performs a wide range of analytics functions in a fast-paced team environment using tools such as Excel other business intelligence tools.
- Analyzes Payer contract compliance and trends.
- Identifies opportunities for process improvements.
- Designs and executes improvement projects.
- Conducts complex data analysis and data interpretation
- Meets established deadlines timely, accurately, and with a sense of urgency.
- Performs other duties as assigned.
- This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job.
- Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
- Must maintain a current status on Natera training requirements.
by Irma Moore | May 24, 2024 | Uncategorized
Position Status: Full-time, Day Shift
Position Location: This position is remote.
Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming
For applicants within Washington State, the following hiring range will be applied: $22.51 – $31.08 / hour.
Standard Working Hours: 8:00AM to 5:00PM (ET).
Position Summary:
Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections.
Minimum Requirements:
- 5 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding.
- CCS or CPC required.
- Vascular surgery experience required.
- Epic experience preferred.
by Irma Moore | May 24, 2024 | Uncategorized
alt Lake City, UT
Reqid: 68928
Overview
As a patient-focused organization, University of Utah Health 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 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
Infusion and/or oncology coding experience very helpful!
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.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
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 levels I and II coders and may serve as a 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 work groups.
- 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 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 effectively train others.
- Knowledge of CMS, AMA, and AHA coding and billing guidelines.
Qualifications
Qualifications Required
- American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), 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 of coding, clinical or billing experience.
Qualifications (Preferred)
Preferred
- Experience in organizing and conducting coding or billing education.
- Infusion and/or oncology coding experience.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
- This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Physical Requirements
Listening, Manual Dexterity, Sitting, Speaking
Multi-lingual Candidates Welcomed
To inquire about this posting, email: [email protected]
EEO Statement
University of Utah Health Hospitals and Clinics, a part of 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.
University of Utah Health Hospitals and Clinics, a part of 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.
To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500.If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action:
Sherrie Hayashi
Director/ Title IX Coordinator
Office of Equal Opportunity and Affirmative Action (OEO/AA)
383 University Street, Level 1 OEO Suite
Salt Lake City, UT 84112
801-581-8365
[email protected]
Online reports may be submitted at oeo.utah.edu/
For more information: https://www.utah.edu/nondiscrimination/
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
by Irma Moore | May 24, 2024 | Uncategorized
Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement.
Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators.
Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials.
Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.
Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM
MINIMUM QUALIFICATIONS
Completion of an AHIMA-approved coding program or Associate’s degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or related healthcare field is preferred.
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required.
Three (3) years of current acute care or Inpatient coding experience is required. Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement.
Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred.
Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred.
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