Outpatient/Provider Coder II

DaMar Staffing; Salt Lake City (UT); On-site; USD 52,000 - 76,000; Full time

Job summary

University of Utah Health seeks a detail-oriented coder to abstract, code, and interpret outpatient clinic and provider services for professional or facility billing. This role uses coding knowledge to extract data from medical records and support related documentation and coding tasks.

Responsibilities include reconciling visits, coding multi-specialty services, and mentoring Level I Coders; candidates should have AHIMA/AAPC credentials and at least two years of coding or billing experience.

Qualifications

• AHIMA or AAPC certification or three years coding experience.
• Two years of coding, clinical, or billing experience.
• Equivalency candidates must obtain an AHIMA/AAPC certification within six months.

Responsibilities

• Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel.
• Reviews, abstracts, and codes multiple/sub specialty services and assigns appropriate coding classification.
• Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing related issues.
• Researches and resolves high volume accounts and complex, suspended claims.
• Interprets and applies basic regulatory guidelines to coding and reimbursement decisions.
• Assures adherence to department quality and productivity standards.
• Assists with other department coding needs as requested.
• Serves as a mentor and assists in the training of Level I Coders.

Skills

Certification in coding (CCA/CPC/COC/C

Two years coding experience

Regulatory knowledge

Effective communication

Mentoring/training

Microsoft Word

Microsoft Excel

Education

AHIMA or AAPC certification such as CCA/CPC/COC/CCS/CCS-P/RHIA/RHIT or equivalent

Two years of coding, clinical, or billing experience

Certification required within six months if none on hire

Tools

Microsoft Word

Microsoft Excel

Job description

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position is not responsible for providing care to patients.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

Essential Functions

• Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel.
• Reviews, abstracts, and codes multiple/sub specialty services and assigns appropriate coding classification.
• Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing related issues.
• Researches and resolves high volume accounts and complex, suspended claims.
• Interprets and applies basic regulatory guidelines to coding and reimbursement decisions.
• Assures adherence to department quality and productivity standards.
• Assists with other department coding needs as requested.
• Serves as a mentor and assists in the training of Level I Coders.

Knowledge / Skills / Abilities

• Demonstrated potential ability to perform the essential functions as outlined above.
• Demonstrated human relations and effective communication skills.
• Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
• Demonstrated proficiency in computer software. (e.g. Microsoft Word and Excel).
• Ability to maintain certifications through continuing education credits.
• Ability to train others.

Qualifications

Required

• An American Health Information Management Association (AHIMA) or American Academy of Professional coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Registered Health Information Administrator (RHIA, Registered Health Information Technician (RHIT), or other specialty certification indicated by the department, or three years of coding experience.
• Two years of coding, clinical, or billing experience.
• Incumbents qualifying under the equivalency requirement, without certification, must obtain an American Health Information Management Association (AHIMA) or American Academy of Professional coders (AAPC) recognized certification within six months of hire.

Qualifications (Preferred)

Preferred

• Experience in organizing and conducting coding or billing education.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Listening, Sitting, Speaking

Multi-lingual Candidates Welcomed

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.

All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affluent Act/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:www.utah.edu/nondiscrimination/

Online reports may be submitted atoeo.utah.edu/

The University is a participating employer with Utah Retirement Systems(“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at [phone] for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at [phone] or [phone] or Hospitals and Clinics Human Resources at [phone] if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

Requisition Number 85205
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule Monday-Friday 6:30am-3:00pm
Clinical/Non-Clinical Status Non-Clinical
Location Name Business Services Building
Workplace Set Up Remote
City SALT LAKE CITY
State UT
Department COR ISC 10D OP CODING
Category Health Information Management
Workplace Set Up Remote