Overview
University of Utah Health is a patient-focused academic health care system dedicated to enhancing the health and well-being of people through patient care, research, and education. The organization values collaboration, excellence, leadership, respect, compassion, innovation, responsibility, integrity, quality, and trust.
This role is responsible for abstracting, coding, and interpreting outpatient clinic and provider services for professional and/or facility billing. The position uses coding knowledge to abstract and record data from medical records, support documentation and coding needs, and code complex or specialty services. This role may also serve as a resource for other coders and is not responsible for providing patient care.
Responsibilities
- Perform final reconciliation on clinic or provider visits and resolve missing, incomplete, or inconsistent documentation by contacting appropriate personnel.
- Review, abstract, and code multiple or subspecialty services and complex or unusual cases.
- Serve as a resource to coding staff, business office staff, providers, hospital staff, clinic managers, and other clinical personnel on billing-related issues.
- Research and resolve high-volume accounts, complex or escalated suspended claims, and compliance issues using appropriate databases.
- Research, interpret, and apply regulatory guidelines to coding and reimbursement decisions.
- Assist in the auditing process.
- Train Level I and II coders and may serve as a project lead.
- Assist with backlog to maintain quality and productivity standards.
- Support other department coding needs as requested.
- Participate in committees and work groups as needed.
- May present information to providers and assist with coding and billing education.
Qualifications
Required
- AHIMA or AAPC-recognized certification, such as CCA, CPC, COC, CPC-H, CPC-P, CCS, CCS-P, RHIA, RHIT, or another specialty certification indicated by the department.
- Three years of coding, clinical, or billing experience.
Preferred
- Experience organizing and conducting coding or billing education.
Knowledge, Skills, and Abilities
- Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and health insurance processing.
- Knowledge of CMS, AMA, and AHA coding and billing guidelines.
- Demonstrated leadership, communication, and human relations skills.
- Proficiency with computer software such as Microsoft Word and Excel.
- Ability to maintain certifications through continuing education credits.
- Ability to effectively train others.
Location
Utah, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago