Medical Billing Coder I - UMC Billing Services - 530979

The University of Alabama; Tuscaloosa (AL); Remote; USD 30,000 - 37,000; Full time

Job summary

The University of Alabama is seeking a Medical Billing Coder I to timely and accurately process visits and procedures across multi-specialty clinics in an academic environment. You will review charges, follow up on claims, correct denials, and respond to patient inquiries using CPT, HCPCS, ICD-10 and payer standards.

Responsibilities include preparing clean claims, verifying documentation, addressing patient billing questions, and maintaining strict confidentiality per HIPAA.

Qualifications

• High school diploma or GED plus 4 years of medical billing/coding experience, or
• an associate degree or coding certificate with 2 years of experience, or
• a bachelor's degree with some medical coding exposure.

Responsibilities

• Process charges from clinic and hospital EHRs using CPT/HCPCS/ICD-10.
• Follow up on unpaid insurance claims and correct denials.
• Maintain HIPAA confidentiality and respond to patient billing inquiries.
• Prepare end-of-day AR reports and resolve COB issues with payers.

Skills

Excel

Word

Organizational skills

Communication

Problem solving

Education

High school diploma or GED

Associate's degree or medical coding certificate

Bachelor's degree

Tools

Electronic Health Record system

Job description

Pay Grade/Pay Range:

Minimum: $21.44 - Midpoint: $26.83 (Hourly N6)

Department/Organization:

208411 - UMC Business Office

Normal Work Schedule:

Monday - Friday 8:00am to 5:00pm; some evening/weekend hours as needed

Note to Applicants:

Position is eligible for remote work subject to University policy. If an applicant is selected and will request to work from a state where the University does not currently have other regular employees, that applicant may be referred to the University’s 3rdParty Employer of Record,nextSource, to serve as the official employer.

Job Summary:

The Medical Billing Coder I provides timely and accurate processing of multi-specialty physician office visits, I/P and surgical hospital visits, and procedural coding in an academic environment. Reviews and corrects charges submitted from the clinic and hospital electronic health record using CPT, HCPCS, ICD-10 and insurance payer standards. Follows-up with accounts receivable on unpaid insurance claims. Corrects denials and audit trails. Responds to patient statement inquiries.

Additional Department Summary:

Performs medical billing services for the College of Community Health Sciences (CCHS). Prepares and submits clean claims to various insurance companies either electronically or by paper. Reviews and verifies that documentation supports diagnoses, procedures and treatment results. Trends problems in billing and coding and provides timely feedback to Faculty, Residents, Learners, and clinical staff regarding proper documentation and coding services. Resolves coding edits at the time of charge entry to ensure timely claim submission.

Answers questions from patients, clinicians, clerical staff and insurance companies. Identifies and resolves patient billing inquiries. Evaluates patient’s financial status and establishes budget payment plans. Identifies and flags delinquent accounts for submission to the collection agency. Processes payments from patients and prepares an End of Day report. Completes worklog tasks and outstanding accounts receivable reports by contacting insurance companies to resolve denials, submitting appeals, and calling patients to resolve COB issues. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Required Minimum Qualifications:

High school diploma or GED and four (4) years of medical bill coding experience; OR associate's degree or medical coding certificate and two (2) years of medical bill coding experience; OR bachelor's degree and some medical bill coding experience.

Skills and Knowledge:

Experience processing charges submitted in an electronic health record system. Demonstrated knowledge and skill in working with Excel spreadsheets and Word documents. Excellent organizational and effective written and verbal communication skills. Detailed oriented. Excellent customer service skills, with respect, cultural awareness, and sensitivity. Ability to work independently and problem-solving skills. Time management skills. Ability to maintain strict confidentiality

Preferred Qualifications:

Certified Professional Coder (CPC) by American Association of Professional coders (AAPC). Certified Coding Specialist by American Health Information Management Association (AHIMA). ICD-10 training/experience.

Background Investigation Statement:

Prior to hiring, the final candidate(s) must successfully pass a pre-employment background investigation and information obtained from social media and other internet sources. A prior conviction reported as a result of the background investigation DOES NOT automatically disqualify a candidate from consideration for this position. A candidate with a prior conviction or negative behavioral red flags will receive an individualized review of the prior conviction or negative behavioral red flags before a hiring decision is made.

Equal Employment Opportunity

The University of Alabama is an Equal Employment/Equal Educational Opportunity Institution. All qualified applicants will receive consideration for employment or volunteer status without regard to any legally protected basis and will not be discriminated against because of their protected status. Applicants and employees of this institution are protected under Federal law from discrimination on several bases. More information is available in the EEOC’s Know Your Rights: Workplace discrimination is illegal poster.

The University of Alabama affirms its longstanding commitment to institutional neutrality, free speech, and academic freedom.