Requisition Number: 12721
Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: Monday-Friday, 8 am to 5 pm
Location Name: Off-Campus (Other)
City: SALT LAKE CITY
State: UT
Department: UIP CST 01H HEALTH PLANS ADMIN
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care 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 Care 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
Audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. Reviews and audits physician and institutional billing from multiple departments and entities of the University of Utah Health Sciences Center, and assists in training departmental personnel in correct coding and documentation.
This position is not responsible for providing patient care.
Responsibilities:
- Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-9 coding and billing.
- Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules.
- Reviews and audits institutional coding and billing from multiple departments and entities of University Health Care.
- Assists in training personnel in correct documentation processes and coding guidelines.
- Oversees on-going projects that are within the scope of this position.
Knowledge / Skills / Abilities:
- Extensive knowledge of coding rules as outlined by CMS, AHA AMA.
- Ability to identify areas or items which are not in compliance with the rules, present findings to diverse groups (e.g. physicians, nurses, administrators/directors coders, billing representatives) and recommend appropriate changes to policies and procedures.
- Ability to meet the American Academy of Procedural Coders and/or AHIMA's continuing education requirements.
Qualifications:
- RHIA certification.
- Two years of coding experience in multiple specialties.
- OR
- RHIT or CPC certification.
- Four years coding experience in multiple specialties, or equivalency.
- OR
- Bachelor’s degree in a health sciences related area.
- Four years minimum coding experience in multiple specialties.
Qualifications (Preferred):
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.
- Epic experience Preferred
- Health Insurance experience Preferred
- Optum CES experience Preferred
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Reg/Temp: Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: Monday-Friday, 8 am to 5 pm
Location Name: Off-Campus (Other)
City: SALT LAKE CITY
State: UT
Department: UIP CST 01H HEALTH PLANS ADMIN
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.
Overview:
As a patient-focused organization, the University of Utah Health Care 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 Care 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
Audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. Reviews and audits physician and institutional billing from multiple departments and entities of the University of Utah Health Sciences Center, and assists in training departmental personnel in correct coding and documentation.
This position is not responsible for providing patient care.
Responsibilities:
- Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-9 coding and billing.
- Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules.
- Reviews and audits institutional coding and billing from multiple departments and entities of University Health Care.
- Assists in training personnel in correct documentation processes and coding guidelines.
- Oversees on-going projects that are within the scope of this position.
Knowledge / Skills / Abilities:
- Extensive knowledge of coding rules as outlined by CMS, AHA AMA.
- Ability to identify areas or items which are not in compliance with the rules, present findings to diverse groups (e.g. physicians, nurses, administrators/directors coders, billing representatives) and recommend appropriate changes to policies and procedures.
- Ability to meet the American Academy of Procedural Coders and/or AHIMA's continuing education requirements.
Qualifications:
- RHIA certification.
- Two years of coding experience in multiple specialties.
- OR
- RHIT or CPC certification.
- Four years coding experience in multiple specialties, or equivalency.
- OR
- Bachelor’s degree in a health sciences related area.
- Four years minimum coding experience in multiple specialties.
Qualifications (Preferred):
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.
- Epic experience Preferred
- Health Insurance experience Preferred
- Optum CES experience Preferred
Go back to the welcome page
Need further assistance?
Powered by the iCIMS Talent Platform (Opens new window)
Applicant Tracking Software