Outpatient/Provider Coder Level 3

University of Utah; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job description

Special Instructions

While UMB is a remote department and this role will be performed remotely, interested applicants should note the following:

• This role is expected to work during UMB office hours which are Monday through Friday, 8am to 5pm Mountain Time.
• The University of Utah is committed to providing jobs to individuals located in Utah, and sees remote roles like this as an opportunity to provide amazing employment opportunities to those living in remote areas of the state. As such, Utah-based applicants may be prioritized in the screening process.
• At this time, the University of Utah is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.

Job Details

Open Date: 08/14/2024

Requisition Number: PRN39530B

Job Title: Medical Appeals Coding Specialist SR

Job Grade: E

FLSA Code: Nonexempt

Standard Hours per Week: 40

Full Time or Part Time: Full Time

Shift: Day

Work Schedule Summary: UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time

Department: 00209 - Univ Medical Billing - Oper

Pay Rate Range: $25-$28 per hour

Close Date: Open Until Filled

Job Summary

University Medical Billing (UMB) is a fully remote department that serves over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. 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 analyzes codes, charges, and denial trends for complex or specialty services and will serve as a resource for UMB Coding, AR, and Quality staff. This candidate employs quality assurance processes to assist in reducing accounts receivable and provide education to internal team members and departments as appropriate.

Responsibilities

Essential Functions

• Conduct high-level analysis of reports; provide feedback and recommendations to aid in reduction of denials.
• Quality assurance for appropriate coding and documentation, collaborate with Quality Assurance Educators and Coding supervisors on mitigation of denials related to coding and system processes.
• Provide training, presentations, and education on billing and coding procedures and workflows, one on one or in-group settings as needed.
• Identify and summarize payer concerns and escalate for resolution.
• Quality Review of team for appropriate coding and documentation.
• Assist in reviewing payer policy, procedures, workflows, and updates.
• Assist with backlog to maintain department quality and productivity standards.
• Manage projects as assigned.
• Maintain needed CEUs for coding certification.
• Other duties as assigned.

Minimum Qualifications

American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), or equivalent certification, AND 3 years coding, clinical, or billing experience or equivalency. Departments may prefer specific certifications over others.

Preferences

• Demonstrated knowledge of revenue cycle.
• Working knowledge of insurance denials, appeals, and expected reimbursement rates.
• Experience presenting findings and educating key stakeholders.
• Strong written and verbal communication skills.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to the job.