Coding Education Consultant

UT Health San Antonio; San Antonio (TX); Sur place; USD 70 000 - 100 000; Plein temps

Résumé du poste

UT Health San Antonio is seeking a skilled professional to assist with analyzing medical record documentation against billing guidelines and to educate departments on proper coding for services rendered. The role focuses on quality reviews of coding, resolving denials, and training staff to ensure compliant documentation and accurate revenue capture across departments.

Candidates should have ICD-10 and CPT proficiency, strong regulatory knowledge, and proven leadership and communication

Qualifications

• Knowledge of Federal, State and Payer regulations.
• Proficiency in ICD-10 and CPT coding.
• Strong leadership skills; ability to apply judgment in making informed decisions.
• Proven ability to manage multiple responsibilities while meeting objectives and working with teams.
• Strong verbal, written and interpersonal communication skills.
• Detail-oriented with meticulous planning and organizational skills.

Responsabilités

• Assists with analyzing medical record documentation against billing guidelines.
• Educates departments and faculty on appropriately documenting the medical record for services provided.
• Conducts quality reviews of coding activities to ensure documentation supports coding rules and selection.
• Researches and resolves coding related denials as reported.
• Reviews and resolves services in charge review to identify coding issues/trends.
• Recommends changes to policies and procedures to improve professional fee coding and data management.
• Performs all aspects of daily work with strict confidentiality.
• Provides feedback to providers based on quality reviews to minimize errors.
• Develops and performs training regarding documentation, billing and coding to inform providers of changes/updates.
• Provides education regarding coding, billing and documentation to end users and ancillary staff as needed.
• Reports compliance issues detected through reviews and collaborates with Compliance to resolve issues.
• Serves as a resource for coding activities within the assigned department(s).
• Performs all other duties as assigned.

Connaissances

ICD-10 coding

CPT coding

Regulatory knowledge

Leadership

Communication

Formation

High School Diploma or GED

Description du poste

Under general supervision, responsible for assisting with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting the medical record for services provided to patients.

Responsibilities

• Conducts quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with all coding and billing standards.
• Researches and resolves coding related denials as reported.
• Reviews and resolves services in charge review to identify coding issues/trends.
• Recommends changes to policies and procedures to improve professional fee coding and data management.
• Performs all aspects of daily work in a manner that contributes to and ensures an environment of strict confidentiality.
• Provides feedback to providers based on quality reviews to minimize errors.
• Develops and performs training regarding documentation, billing and coding to inform providers of changes/updates in guidelines or activities that prevent denials or increase revenue.
• Provides education regarding coding, billing and documentation to end users and ancillary staff as needed.
• Reports compliance issues detected through reviews and collaborates with Compliance to identify and implement corrective action plan to resolve issue.
• Serves as a resource for coding activities within the assigned department(s) and/or sub-specialties.
• Performs all others duties as assigned.

Qualifications

• Knowledge of Federal, State and Payer regulations.
• Proficiency in ICD-10 and CPT coding.
• Strong leadership skills; ability to apply judgment in making informed decisions.
• Proven ability to manage a multiple responsibilities while meeting objectives and working with teams.
• Strong verbal, written and interpersonal communication skills.
• Detail-oriented with meticulous planning and organizational skills.

Education

• High School Diploma or GED is required.

Required Skills

• Five (5) years related experience is required.

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

Job Info

• Job Schedule Full time