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Quality Assurance Coding Auditor

University of Utah - Salt Lake City, UT

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Job Details

Full-time $36 - $38 an hour 1 hour ago

Benefits

Health insurance
Paid time off

Qualifications

Microsoft Word
Microsoft Excel
RHIA
Writing skills
AHIMA
RHIT
Certified Professional Coder
ICD-10
Certified Coding Specialist
Medical terminology
2 years
Communication skills

Full Job Description

Quality Assurance Coding Auditor

Job Summary

University Medical Billing (UMB) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidates will exemplify these attributes too.

We are looking for an experienced Quality Assurance Coding Auditor to join our team. As a Coding Auditor at UMB, you will be responsible for providing coding, revenue cycle, compliance support, and education to multi-specialty physicians, other qualified health care professionals (e.g., Nurse Practitioners, Physical Therapists, Midwives), support staff and administration. Auditors monitor coding and billing activities to ensure activities performed are compliant with federal and state statutes/regulations, review for clinical documentation improvement opportunities and revenue cycle efficiencies, and report recommendations to the appropriate stakeholders.

Compensation & Benefits
The starting salary for this position is $36-$38 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:

Reviews and audits professional coding and billing from multiple departments and entities of University Health Care.

Reports on the accuracy of procedure, E&M, ICD-10 coding and billing to ensure compliance with payer, legal and procedural policies.

Reviews billing and revenue cycle processes for accuracy and process improvements.

Identifies inaccurate coding practices; prepares reports of findings and meets with providers and medical office staff in-person to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies.

Conducts education and training to department staff and clinical employees in correct documentation processes and coding guidelines.

Provides education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state, and payer specific) and health insurance processing.

Meets productivity and accuracy expectations of the position.

Ad hoc projects as assigned.

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, plus 4 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 human relations and effective communication skills also required; proficiency with medical terminology.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences
An especially qualified candidate will also possess the following:

At least 4 years of coding experience, including at least two surgical specialty areas.
Intricate knowledge of coding rules as outlined by CMS, AHA AMA. Must be able to identify areas or items which are not in compliance with rules, present findings in a coherent and succinct format to diverse groups (e.g., physicians, nurses, administrators, director, coders, billers) and recommend appropriate changes to policies and procedures.
Proficient and confident in writing, communication, and presentation skills.
Experience and understanding of Federal regulations and payer policies with the ability to interpret the information.
Problem solving skills with the ability to identify and analyze root causes.

Disclaimer
This job description 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.

Special Instructions
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 5pm 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.

Requisition Number: PRN39028B
Full Time or Part Time? Full Time
Work Schedule Summary: UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time
Department: 00209 - Univ Medical Billing - Oper
Location: Other
Pay Rate Range: $36-$38 per hour
Close Date:
Open Until Filled: Yes

To apply, visit https://utah.peopleadmin.com/postings/166975

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