Senior Outpatient Coder & Lead Trainer

University of Utah Health; Salt Lake City (UT); On-site; USD 65,000 - 90,000; Full time

Job summary

University of Utah Health is seeking an outpatient coder to abstract, code, and interpret clinic and provider services for professional and facility billing. The position codes complex or specialty services and may serve as a resource for other coders, while not providing direct patient care.

The role requires AHIMA or AAPC certification and at least three years of coding, clinical, or billing experience, with strong knowledge of CMS, AMA, and AHA guidelines.

Qualifications

• Demonstrated leadership, human relations and effective communication skills.
• Proficiency in computer software (Microsoft Word and Excel).
• Knowledge of CMS, AMA, and AHA coding and billing guidelines.

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.

Skills

Leadership

Communication

MS Word

Excel

Training

CMS guidelines

AMA guidelines

AHA guidelines

Education

AHIMA or AAPC certification

Job description

University of Utah Health is seeking an outpatient coder to abstract, code, and interpret clinic and provider services for professional and facility billing. The position codes complex or specialty services and may serve as a resource for other coders, while not providing direct patient care.

The role requires AHIMA or AAPC certification and at least three years of coding, clinical, or billing experience, with strong knowledge of CMS, AMA, and AHA guidelines.