Clinical Coder I at University of Florida Gainesville, FL

Comunidade Metodista; Gainesville (FL); Remote; USD 26,000 - 30,000; Full time

Job summary

University of Florida in Gainesville, FL, is seeking a Clinical Coder I responsible for coding and billing professional medical fees. The role involves extracting billable services, applying CPT/ICD-10 codes, and entering services into the EPIC system for submission.

This remote position becomes available after successful on-site training. The candidate will collaborate with faculty and clinicians, ensuring compliance with regulations and accurate reimbursement while maintaining high coding

Qualifications

• Able to code using CPT and ICD-10 accurately.
• Experience with EPIC billing system.
• Strong data entry and multitasking skills.
• Knowledge of medical terminology.
• Ability to work independently with minimal supervision.

Responsibilities

• Reviews practitioner notes in EPIC for billable services across inpatients and outpatients.
• Applies CPT and ICD-10 codes and ensures proper attestations and documentation.
• Enter charges into EPIC accurately.
• Resolve billing system edits to ensure clean claims.
• Address denials promptly and research issues for resolution.
• Identify trends in rejections and propose process improvements.
• Research coding guidance from resources and guidelines.
• Inform supervisor of issues impacting coding/reimbursement.
• Attend coding dept meetings and continuing education to maintain credentials.
• Coordinate with billing staff to manage workload and provide coverage.
• Liaise with Department of Medicine, UFP, compliance, and physicians.

Skills

CPT coding

ICD-10 coding

Data entry

Billing knowledge

Medical terminology

Education

High school diploma or equivalent

CPC/AAPC

CCS-P

Tools

EPIC

Job description

Clinical Coder I job at University of Florida. Gainesville, FL.

Classification Title:

Clinical Coder I

Classification Minimum Requirements:

High school diploma or equivalent.

Job Description:

This position is responsible for the coding and billing of professional medical fees for all practitioners in the Department of Medicine. This involves extracting billable services from the patient charts and applying appropriate CPT and ICD-10 codes and then entering these services in the EPIC billing system for submission. This position works closely with faculty, extenders, fellows and residents to ensure compliance with federal and state regulations and provide education on correct coding and proper documentation to maximize physician reimbursement. This is a remote position upon completion of a successful on-site training/probationary period.

• Reviews all practitioner note types documented in EPIC for abstraction of billable services for all patients (inpatients and observation) for the assigned division within the Department of Medicine.
• Applies appropriate CPT and ICD-10 codes and confirms adequate teaching physician documentation such as attestations and time-based statements and ensures that signature requirements are met.
• Responsible for charge data entry into EPIC.
• Ensure clean claim submission by resolving system edits for inpatient and outpatient hospital services.
• Resolves all denials in a timely manner by responding to University of Florida Physicians (UFP) information requests.
• Review and analyze rejections to determine trends; propose solutions for change in process as appropriate.
• Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, college/department policy, and coding networks.
• Informs supervisor of issues that may impact coding and reimbursement.
• Attends Coding Dept meetings, continuing education courses, seminars, and conferences in order to increase knowledge and maintain coding credential.
• Prioritizes work assignments based on urgency and deadlines.
• Works cooperatively with Departmental and Divisional billing staff to resolve backlog and provide back-up coverage of billing functions for vacations and illnesses of other billing staff members.
• Serves as a liaison to multiple internal and external entities including, but not limited to:
  • Department of Medicine
  • Other Divisions within the Department of Medicine
  • Hospital Medicine physicians
  • University of Florida Physicians (UFP)
  • Compliance Office
  • Referring physicians, patients, and patients’ families
• Constantly strives to represent the Division, Department, and University in a positive, courteous, and professional manner.
• Other duties as assigned.

Expected Salary:

$19.15-22.00/hr

Required Qualifications:

High school diploma or equivalent.

Preferred:

• Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) preferred.
• Experience working in healthcare, specifically in billing/coding.
• Knowledge of anatomy and medical terminology
• Ability to work independently
• Ability to multitask and prioritize work based on departmental goals
• Proficiency in data entry

Health Assessment Required:No