Outpatient/Provider Coder III

University of Utah; Salt Lake City (UT); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented coding specialist to enhance the efficiency of their outpatient clinic billing processes. This role involves abstracting and coding complex services while ensuring compliance with regulatory guidelines. The ideal candidate will leverage their coding knowledge to support clinical staff and improve documentation accuracy. Join a dynamic team dedicated to patient care and innovation, where your contributions will directly impact the quality of healthcare services. If you possess strong communication skills and a passion for coding, this opportunity is perfect for you.

Qualifications

• Certification such as CCA, CPC, or CCS is required.
• Three years of coding, clinical, or billing experience is essential.

Responsibilities

• Abstracts and codes outpatient clinic and provider services.
• Resolves documentation issues and interacts with clinical personnel.
• Trains junior coders and assists with department coding needs.

Skills

Coding Knowledge

Clinical Documentation

Communication Skills

Leadership Skills

Regulatory Guidelines Knowledge

Problem Solving

Education

Certification from AHIMA or AAPC

Three years of coding experience

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, diversity, integrity, quality and trust that are integral to our mission. EO/AA

This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/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 codes and charges complex or specialty services and may serve as a resource for other coders. 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

• Performs the final reconciliation on clinic or provider visits and resolves missing, incomplete, or inconsistent documentation by contacting appropriate personnel.

• Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.

• Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.

• Researches and resolves high volume accounts, complex or escalated suspended claims, and compliance issues using appropriate databases and shares this information with other coding staff.

• Researches, interprets, and applies regulatory guidelines to coding and reimbursement decisions and educates staff on associated guidelines and resolutions.

• Assists in the auditing process.

• Trains levels I and II coders and may serve as a project lead.

• Assists with backlog to maintain department quality and productivity standards.

• Assists with other department coding needs, as requested.

• May participate on committees and work groups.

• May formally present information to providers and assist in training efforts regarding coding and billing.

Knowledge / Skills / Abilities

• Demonstrated potential ability to perform the essential functions as outlined above.

• Demonstrated leadership, 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 effectively train others.

• Knowledge of CMS, AMA, and AHA coding and billing guidelines.

Qualifications

Qualifications Required

• 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.

• Three years of coding, clinical or billing experience.

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

To inquire about this posting, email: [e-mail]

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 from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans 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 Affirmative Action/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 and Affirmative Action (OEO/AA). 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 at oeo.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 75593
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