Outpatient/Provider Coder Level 3

University of Utah, United States

Updated: 3 days ago
Job Type: FullTime

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Outpatient/Provider Coder Level 3
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Please see Special Instructions for more details.
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 4:30pm 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.

Announcement
Details


Open Date 06/19/2024
Requisition Number PRN38907B
Job Title Outpatient/Provider Coder Level 3
Working Title Medical Appeals Coding Specialist SR
Job Grade E
FLSA Code Nonexempt
Patient Sensitive Job Code? No
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 4:30pm Mountain Time
VP Area U of U Health - Academics
Department 00209 - Univ Medical Billing - Oper
Location Other
City Other
Type of Recruitment External Posting
Pay Rate Range $25-$28 per hour
Close Date
Open Until Filled Yes
Job Summary
REMOTE WORK OPPORTUNITY. 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 better assist department’s reduction in accounts receivable and provide education to internal team members and department as appropriate. Escalating identified trends to insurance payers and/or policy issues to the appropriate resource. 
The starting salary for this position is $25-$28 per hour, depending on experience. Members of UMB are eligible for a bonus based on department performance. All team members are eligible for the University’s comprehensive benefit package that includes 90% employer- paid medical insurance, a generous 14.2% retirement contribution, reduced tuition, PTO and holiday pay, and more! 
Employment is contingent on the successful completion of a background check and the adherence to departmental policies, including UMB’s Telecommuting Agreement which requires a distraction-free and HIPAA compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during office hours or assigned shift (M-F, approximately 8am to 5pm Mountain Time) regardless of what time zone you live in. Additionally, new hires are required to provide their own monitors (two) and reliable internet service. 
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. 
  • Responsible to provide training, presentations, and education on billing and coding procedures and workflows, one on one or in-group settings as needed.
  • Responsible for identifying and summarizing payer concerns and escalating for resolution. 
  • Quality Review of team for appropriate coding and documentation (review coding denial letters, review for content, and accuracy.) Provide education and collaborate with providers, QA Educators and report trends for accuracy improvement.
  • Assist in reviewing payer policy, procedures, workflows and updates. Working with Quality Assurance Educators, communicates to appropriate personnel and departments. 
  • Assists with backlog to maintain department quality and productivity standards, and assists with other department needs as requested.
  • Manages projects as assigned.
  • May participate on committees and/or workgroups.
  • 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), 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, AND 3 years coding, clinical, or billing experience or equivalency (one year of education can be substituted for two years of related work experience). Departments may prefer specific certifications over others.
    Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state and payer specific), and health insurance processing is required. Proficiency with computer software such as Microsoft Word and Excel, and effective human relations and communication skills are also required. Some areas may require knowledge of CMS, AMA, and AHA coding and billing guidelines.
    This position has no responsibility for providing care to patients.
    Incumbents in this position must maintain their Continuing Education Credits (CEUs) as required by the issuing coding organization.
    Preferences
    An especially qualified candidate will also possess the following:
    • Demonstrated knowledge of revenue cycle. 
    • Working knowledge of insurance denials, appeals and expected reimbursement rates.
    • Experience presenting findings and educating key stake holders.
    • 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.
    Type Benefited Staff
    Special Instructions Summary
    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 4:30pm 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.
    Additional Information

    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 Human Resources at (801) 581-7447 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 (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 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.

    The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.

    All qualified individuals are strongly 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.
    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 or 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: https://www.utah.edu/nondiscrimination/
    Online reports may be submitted at oeo.utah.edu

    https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.

    Posting Specific Questions

    Required fields are indicated with an asterisk (*).

  • * Have you obtained certification in medical coding, such as Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), CPC-P, CCS, CCS- P, or equivalent certification?
    • Yes
    • No
  • * How many years of coding, clinical, and/or billing experience do you have?
    • Less than 2 years
    • 2 years or more, but less than 4 years
    • 4 years or more, but less than 6 years
    • 6 years or more, but less than 8 years
    • 8 years or more
  • * Are you legally authorized to work in the United States?
    • Yes
    • No
  • * Are you available to work UMB’s office hours (Monday to Friday, approximately 8am to 5pm Mountain Time)?
    • Yes
    • No
  • * Will you now or in the future require sponsorship for employment visa status (e.g., H-1B status)?
    • Yes
    • No
  • * How did you hear about this position?
    • Employment.utah.edu
    • University of Utah job board
    • KSL.com
    • Indeed.com
    • LinkedIn.com
    • Monster.com
    • AAPC
    • AMBA
    • Handshake
    • Department of Workforce Services
    • HigherEdJobs.com
    • DiverseJobs.net
    • Facebook
    • Other
  • * Do you currently live in Utah or do you intend to move to Utah within the next 3 months?
    • Yes
    • No

    • Applicant Documents
    Required Documents
  • Resume
    • Optional Documents
  • Cover Letter
  • Addendum to the University of Utah - Veteran Only - Call 801.581.2169 after submission
  • Appropriate discharge document (such as a DD-214 – Member Copy 4) – Veteran Only – Call 801.581.2169

    • University Human Resource Management
    250 East 200 South, Suite 125 Salt Lake City, UT 84111
    Contact us: (801) 581-2169 By Email: [email protected]

     


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