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Medical Coding Specialist Senior

1 month ago

Salt Lake, Utah, United States University of Utah Full time
Job Summary

University Medical Billing (UMB) is a fully remote department that serves as the premier billing office for the University of Utah School of Medicine, supporting over 1,800 providers and 30 specialties across Utah and surrounding states.

We strive to be a great place to work while providing exceptional service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes.

Responsibilities
  • Conduct high-level analysis of reports to provide feedback and recommendations for reducing denials.
  • Ensure quality assurance for appropriate coding and documentation, collaborating with Quality Assurance Educators and Coding supervisors to mitigate denials related to coding and system processes.
  • Provide training, presentations, and education on billing and coding procedures and workflows, as needed.
  • Identify and summarize payer concerns, escalating them for resolution.
  • Perform quality reviews of team members for accurate coding and documentation, providing education and collaborating with providers, QA Educators, and reporting trends for accuracy improvement.
  • Assist in reviewing payer policy, procedures, workflows, and updates, communicating with Quality Assurance Educators and relevant departments.
  • Manage projects as assigned and participate in committees and/or workgroups.
  • Maintain necessary CEUs for coding certification.
Requirements
  • 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), or Certified Coding Specialist (CCS).
  • Three years of coding, clinical, or billing experience or equivalency, with one year of education substituting for two years of related work experience.
  • Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems, and health insurance processing.
  • Proficiency with computer software, such as Microsoft Word and Excel, and effective human relations and communication skills.