Medical Billing Optimization Specialist

4 weeks ago


Las Cruces, New Mexico, United States UMC Health System Full time
Healthcare Revenue Cycle Analyst

Department:
Central Business Office

Location:
Security Park B-27

Overview:
We are seeking a detail-oriented and analytical Healthcare Revenue Cycle Analyst to become a vital part of our organization. The successful candidate will possess a thorough understanding of medical coding standards, revenue cycle processes, and healthcare reimbursement methodologies. This position will play a crucial role in ensuring precise coding practices, enhancing revenue collection, and complying with regulatory requirements.

Availability Requirements:
  • This role entails a combination of remote and in-office work on a weekly basis.
  • Must be available to work 40 hours per week, with the possibility of irregular hours.
Benefits:
UMC Physicians offers a comprehensive benefits package for eligible full-time employees.

Benefits include:
  • Paid Time Off
  • Sick Leave
  • Health, Dental, and Vision Insurance
  • Employer-Paid Group Life and Optional Life Insurance
  • Short-Term Disability Insurance
  • Long-Term Disability
  • Critical Illness, Accident, and Cancer Insurance
  • Health Care and Dependent Care Spending Accounts
  • 401K Retirement Plan with Company Match
  • Employee Assistance Program
Note:
Some benefits may require an employee contribution to enroll.

Essential Job Functions:
  • Examine and assess medical records for accurate coding.
  • Conduct coding audits to pinpoint errors and opportunities for improvement.
  • Collaborate with healthcare providers and revenue cycle teams.
  • Monitor coding trends and changes in regulations.
  • Perform root cause analysis for coding denials.
  • Provide education and training on coding standards.
  • Assist in the development of coding policies and procedures.
  • Generate reports to monitor coding performance.
  • Participate in initiatives aimed at enhancing the revenue cycle.
  • Act as a subject matter expert in coding and revenue integrity.
Qualifications:
  • Bachelor's degree (preferred) in Health Information Management or a related field.
  • Certified Coding Specialist (CCS) or equivalent certification required.
  • 2-3 years of experience in medical coding or revenue cycle management.
  • Proficient in coding systems and medical terminology.
  • Strong analytical and communication skills.
  • Detail-oriented with a high level of accuracy.
  • Experience with coding software and EHR systems preferred.
  • Knowledge of healthcare reimbursement and revenue cycle processes.
Environmental Conditions:
Work is conducted in a well-lit, heated, and ventilated environment with minimal risk of exposure to bloodborne pathogens.

Physical Requirements:
This position involves a medium-demand workload with a combination of walking and sitting. Requires hand/eye coordination, fine motor skills, visual acuity, and writing abilities.

UMC Health System is committed to providing equal employment opportunities and prohibits discrimination based on various factors. Requests for accommodations should be directed to UMC Human Resources.

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