Coding & Billing Specialist Intermediate/Advance - Dept of Pediatrics
Location: Charlottesville Virginia
Description: UVA Medical Center is currently interviewing Coding & Billing Specialist Intermediate/Advance - Dept of Pediatrics right now, this position will be placed in Virginia. Detailed specification about this position opportunity kindly see the descriptions. POSITION TITLE: Coding & Billing Specialist â€" Intermediate
JOB CODE: B30! 61
Non-Exempt
DEPARTMENT: Various Administrative or Clinical Departments, REPORTS TO: Department Supervisor
GENERAL SUMMARY: The incumbent is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-9 diagnosis codes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:Essential Functions of the Job:
 Reviews medical record documentation to identify all services provided by physicians.
 Assigns appropriate CPT-4 procedure code(s) to accurately report the physician services provided to patients
 Assigns appropriate ICD-9 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the Health Services Foundation.
 Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
! Identifies physician services provided, but not adequately do! cumented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
 Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
 May assist with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
 May compile monthly reports as requested
 May identify trends/problems in medical documentation and department request issue and recommends possible solutions
 Other duties as assigned by supervisor.
REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):Education:
 High School Diploma or GED
Experience:
 Knowledge and/or experience in a health care setting a plus
 In-depth knowledge of third-party payer reimbursement policies
 Incumbent must have successfully completed the foll! owing classes: Medical Terminology
 Certified Coding Certificate or two years of coding/clinical experience
 Incumbent should have a working knowledge of CPT-4 and ICD-9 coding and modifier use
Knowledge and skills:
 Familiarity with personal computer operations
 Basic word processing and spreadsheet software skills required
 Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus
SUPERVISORY RESPONSIBILITIES: This incumbent does not have any positions reporting to him/her.
WORKING CONDITIONS: General office environment
 Thoroughness and dependability
 Detail orientation
 Good oral and written communication skills, as frequent interaction with physicians is required
 Willingness to maintain expertise to keep current with changes in procedure and diagnoses coding and third-party payor reimbursement policies! through continuing education
 Required to attend coding seminar! s and meetings to keep abreast of changes in the profession
 Good customer service skills
 Ability to effectively communicate and work with staff and management
 Ability to work with and maintain confidentiality of patient and patient account data
We are an Equal Opportunity Employer
POSITION TITLE: Coding & Billing Specialist - Advanced
JOB CODE: B3060
DEPARTMENT: Various Administrative or Clinical Departments, REPORTS TO: Department Supervisor
GENERAL SUMMARY: The incumbent is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-9 diagnosis codes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:Essential Functions of the Job:
 Reviews medical record documentation to identify all services provided by physicians.
 Assigns appropriate CPT-4 procedure code(s) ! to accurately report the physician services provided to patients.
 Assigns appropriate ICD-9 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the Health Services Foundation.
 Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
 Identifies physician services provided, but not adequately documented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
 Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
 Assists with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
 Compiles monthly reports as requested.
 Identifies trends/problems in medical documentation and departm! ent request issue and recommends possible solutions.
 Other duti! es as requested by supervisor.
REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):Education:
 High School Diploma or GED
Experience:
 Three years coding experience; or Professional Coding Certification with one year coding experience.
 Incumbent must have knowledge of all billing through 6-month training plus demonstrated knowledge of the respective specialty (surgery; neurosurgery, etc.) area.
 Incumbent must have successfully completed the following classes: Medical Terminology.
 Must successfully complete internal proficiency exam through in-house training..
 Incumbent should have a working knowledge of CPT-4 and ICD-9 coding and modifier use.
 Knowledge and/or experience in a health care setting a plus.
 In-depth knowledge of third-party payer reimbursement policies and procedures a plus.
Knowledge and skills:
 Familiarity of personal computer opera! tions.
 Basic knowledge of word processing and spreadsheet software required.
 Must have experience creating spreadsheets, reports, and trends data.
 Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus.
SUPERVISORY RESPONSIBILITIES: This position does not have any positions reporting to it.
WORKING CONDITIONS: General office environment
SUCCESS FACTORS:
 Thoroughness and dependability
 Detail orientation
 Must possess good oral and written communication skills, as frequent interaction with physicians is required
 Willingness to maintain expertise to keep current with changes in procedure and diagnoses coding and third-party payor reimbursement policies through continuing education
 Incumbent will be required to attend coding seminars and meetings to keep abreast of changes in the profession
 Good customer s! ervice skills.
 Ability to effectively communicate and work with! staff and management
 Ability to work with and maintain confidentiality of patient and patient account data
We are an Equal Opportunity Employer
REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities): Intermediate Level:
Education:
 High School Diploma or GED
Experience:
 Knowledge and/or experience in a health care setting a plus
 In-depth knowledge of third-party payer reimbursement policies
 Incumbent must have successfully completed the following classes: Medical Terminology
 Certified Coding Certificate or two years of coding/clinical experience
 Incumbent should have a working knowledge of CPT-4 and ICD-9 coding and modifier use
Knowledge and skills:
 Familiarity with personal computer operations
 Basic word processing and spreadsheet software skills required
 Demonstrated knowledge and expertise in the use of the reporting system! to prepare reports as requested a plus
REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):Advance Level:
Education:
 High School Diploma or GED
Experience:
 Three years coding experience; or Professional Coding Certification with one year coding experience.
 Incumbent must have knowledge of all billing through 6-month training plus demonstrated knowledge of the respective specialty (surgery; neurosurgery, etc.) area.
 Incumbent must have successfully completed the following classes: Medical Terminology.
 Must successfully complete internal proficiency exam through in-house training..
 Incumbent should have a working knowledge of CPT-4 and ICD-9 coding and modifier use.
 Knowledge and/or experience in a health care setting a plus.
 In-depth knowledge of third-party payer reimbursement policies and procedures a plus.
Knowledge and skills:
 Fam! iliarity of personal computer operations.
 Basic knowledge of wo! rd processing and spreadsheet software required.
 Must have experience creating spreadsheets, reports, and trends data.
 Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to UVA Medical Center.
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This position starts available on: Wed, 01 May 2013 20:43:37 GMT
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