Clinical Coder II at University of Florida Gainesville, FL

Comunidade Metodista; Gainesville (FL); On-site; USD 30,000 - 35,000; Full time

Job summary

The University of Florida in Gainesville, FL seeks a Clinical Coder II to perform coding and billing of professional medical services in the Department of Medicine, extracting billable services and applying CPT/ICD-10 codes in EPIC.

Requirements include a high school diploma with three years of coding experience and CPC/AAPC or CCS-P/CCA/RHIA credentials. The role emphasizes accuracy, HIPAA compliance, and practitioner education to maximize reimbursement.

Qualifications

• High school diploma or equivalent and three years of professional medical coding experience.
• Appropriate college coursework or vocational/technical training may substitute for the required experience.
• Certified Professional Coder (CPC)/AAPC or CCS-P/CCA/RHIA credentials are required.

Responsibilities

• Code and bill professional medical services using CPT and ICD-10 within the EPIC billing system.
• Abstract billable services from patient charts for inpatients and outpatients.
• Ensure clean claim submissions and address denials promptly.

Skills

Anatomy knowledge

Independent work

Multitasking

HIPAA compliance

Data entry

Education

High school diploma

Experience in medical coding (3 years)

Tools

EPIC

CPT coding

ICD-10 coding

Job description

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

Classification Title:

Clinical Coder II

Classification Minimum Requirements:

High school diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/American Academy of Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA).

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.

• 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. while ensuring clean claim submission to include working any edits that charge review may generate.
• Resolves all denials in a timely manner by responding to University of Florida Physicians (UFP) information requests.
• 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.
• Provides feedback to practitioners regarding documentation issues that can impact reimbursement or do not meet compliance requirements.
• Creates and maintains coding/documentation training materials and participates in providing guidance and education to practitioners individually or in groups in regards to documentation, reimbursement, and compliance.
• 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, divisional administrator, and faculty of important changes in coding and reimbursement.
• Assists supervisor and divisional administrator in researching reimbursement and billing issues and assists in designing and implementing billing procedures.
• 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:

$22.11-25.50/hr

Required Qualifications:

High school diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/American Academy of Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA).

Preferred:

• Knowledge of anatomy and medical terminology
• Ability to work independently
• Ability to multitask and prioritize work based on departmental goals
• Ability to handle confidential material in compliance with HIPAA
• Proficiency in data entry

Health Assessment Required:No