Coding Representative - Professional Coding Division (PCD) Patient Financial Services

University of Iowa

Iowa City (IA)

Hybride

USD 41 000 - 75 000

Plein temps

Il y a 2 jours

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Résumé du poste

University of Iowa Health Care’s Professional Coding Division seeks a Coding Representative to assign ICD-10-CM and CPT codes for outpatient, professional, and inpatient services. Remote work eligibility is available; training may be onsite or hybrid from the HSSB building.

Annual review of remote work is part of policy. Typical responsibilities include reviewing records, communicating with physicians, ensuring compliant coding, and supporting reporting on documentation and coding trends.

Qualifications

Knowledge of professional/physician coding rules and guidelines.
Proficiency in medical terminology.
Excellent written and verbal communication skills.
Detail-oriented with strong time management.
Ability to handle complex/ambiguous situations with minimal supervision.
RHIT, RHIA, CPC, CPC-A or equivalent certification is required.

Responsabilités

Review medical records to assign CPT/HCPCS and ICD-10-CM codes in accordance with policies, guidelines, and regulations.
Monitor compliance to ensure accurate reimbursement and HIPAA compliance.
Communicate with physicians and staff for additional information needed for accurate code assignment.
Meet departmental targets regarding volume and accuracy of codes.
Adopt initiatives to improve compliance and reduce risks to the institution.
Assist in providing and analyzing reports related to documentation issues and coding trends.
Participate in internal coding and development training when needed.

Connaissances

Medical coding knowledge

Communication skills

Time management

Attention to detail

Problem solving

Formation

Bachelor's degree or equivalent

Outils

Microsoft Office

Epic

Description du poste

University of Iowa Health Care’s department of Professional Coding Division is seeking a Coding Representative to assign ICD‑10‑CM diagnosis codes and CPT procedure codes for services including comprehensive coding professional services, professional outpatient encounters, and professional services provided during hospital inpatient stays. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Teams) from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®

WE CARE Core Values

Welcoming: We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education.
Excellence: We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.
Collaboration: We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork – guided by compassion – is the best way to work.
Accountability: We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.
Respect: We create an environment where every individual feels safe, valued, and respected, supporting the well‑being and success of all members of our community.
Empowerment: We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities

Review medical records to assign CPT/HCPCS and/or ICD-10-CM diagnosis and procedure codes in accordance with internal policies, coding guidelines, and regulations.
Monitor compliance/coding standards and policies to ensure UI Health Care receives full and accurate reimbursement for services in compliance with all applicable rules and regulations, including HIPAA.
Communicate with physicians/other qualified health care practitioners, residents, and other staff when additional information is needed for accurate code assignment, or to resolve situations where the recommended coded service is not supported in the documentation and/or not consistent with coding and regulatory guidelines.
Meet departmental targets regarding volume and accuracy of codes assigned.
Adopt and incorporate initiatives that improve compliance and reduce risks to the institution.
Assist in providing and analyzing reports related to documentation issues, coding patterns, physician productivity, reimbursement trends, etc.
Participate in internal coding and development training when needed.

Classification Title

Coding Representative

Department

Professional Coding Division (Patient Financial Services)

Staff Type

Professional & Scientific

Percent of Time

100%

Schedule

Monday - Friday between the hours of 6:00 a.m. - 5:00 p.m.

Pay Grade

Location

Hospital Support Services Buildings (HSSB) in Coralville, Iowa

Equipment

Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.
Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, in addition to the university‑issued laptop, which will serve as a third monitor due to its built‑in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.
Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 (two) monitors, in addition to the university‑issued laptop, which will serve as a third monitor due to its built‑in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.

Education Required

Bachelor’s degree or equivalent in education and/or experience.

Required Qualifications

Knowledge of professional/physician coding rules. Experience with ICD-10-CM, CPT, HCPCS, National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
Knowledge of medical terminology.
Proficiency with standard office computer software applications (i.e., Microsoft Office Suite).
Excellent written and verbal communication skills.
Detailed-oriented with excellent time management and prioritization abilities.
Demonstrated ability to handle complex and ambiguous situations with minimal supervision.

Certifications

RHIT, RHIA, CPC, CPC-A, or equivalent certification through a nationally recognized credentialing body such as AHIMA or AAPC is required.

Desirable Qualifications

At least one year of experience with medical coding and/or billing preferred.
Knowledge of coding and billing requirements for services furnished in a teaching setting.
Knowledge and experience with federal healthcare regulations, such as HIPAA and CMS requirements.
Experience with Epic.
AI in Healthcare related training.
Knowledge of UI Health Care’s Patient Financial Services’ functions, systems, processes, and policies.
Ability to work independently in a remote work environment, to organize/prioritize work, practice excellent communication skills, is attentive to detail, demonstrates follow through skills and maintains a positive attitude.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For additional questions, please contact Veronica Clark at veronica-clark@uiowa.edu.

Hours