Outpatient/Provider Coder II

Utah; Salt Lake City (UT); On-site; USD 60,000 - 75,000; Full time

Job summary

University of Utah Health is seeking a coder for outpatient clinic and provider services coding and abstracting for professional or facility billing. Responsibilities include reconciling visits, coding, and interacting with providers to address billing issues.

The ideal candidate will have AHIMA/AAPC certification or equivalent, at least two years of coding or billing experience, and the ability to train others. This is a sedentary, office-based role with standard hours.

Qualifications

• AHIMA/AAPC certification or three years coding experience.
• Two years coding, clinical, or billing experience.
• If not certified, must obtain certification within six months of hire.

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

Coding accuracy

Regulatory knowledge

Communication skills

Training others

Education

AHIMA/AAPC certification or equivalent

Two years coding, clinical, or billing experience

Tools

Microsoft Word

Microsoft Excel

Job description

Job Title

This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing.

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.

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