Sr Physician Coding Specialist – Hybrid

Position #: 24000CJZ
Position: Sr Physician Coding Specialist – Hybrid
UH Facility: Medical Practices / Mgmt Services Org
Shift: Days
Status: Full-time
Work Days of Week: M-F

City: Cleveland

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ABOUT US

To Heal. To Teach. To Discover.

These words are more than just our mission, they embody the opportunities available to the world-class doctors, nurses, health care professionals and support staff who choose to join University Hospitals and Be the Difference.

From entry to executive level, every position and every professional at University Hospitals has a direct impact on our ability to offer excellent care to our patients, their families and our community.

Join Us and Be the difference in Advancing the Science of Health and the Art of Compassion.

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.

JOB DESCRIPTION & QUALIFICATIONS

Description

A Brief Overview

Under the direction of the Billing Supervisor – the Sr. Physician Coding Specialist monitors Coder Productivity, Train, Audit, Code Surgical Encounters, and be a Resource for Physicians and other Department within the system. Identifies trends with insurance related issues and reports findings to the Team.

What You Will Do

Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts.
Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines.
Reviews and corrects coding rejections.
May code ICD-9 from written documentation.
May abstract CPT/HCPCS codes.
May perform computer assisted coding functions.
In depth knowledge of coding rules and payer guidelines.
May code E/M services.
Top performer in department productivity.
Top performer in department accuracy.
May perform auditing functions.
May be assigned to complicated sub-specialties.
Trains/mentors new coders.
Assists staff when supervisor is not available.
Requires minimal supervision.
Effectively communicates coding trends and documentation requirements with physicians and practice managers.
Maintains patient/physician confidentiality at all times and maintains effective communication and professional interaction with patients and physicians.
Provides appropriate information and feedback to various personnel within UHPS. Supports and utilizes established departmental guidelines. Recommends additional research to other CBO departments.
Identifies trends with insurance related issues and reports findings to the Team Lead.
Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
Interprets written correspondence and either resolves the problem or forwards it to another department for prompt resolution.
Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries.
Handles multiple tasks simultaneously.

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

High School Equivalent / GED (Required)

Work Experience

3+ years of medical billing experience (Required) and
Billing experience in a multi-specialty group (Preferred)

Knowledge, Skills, & Abilities

Excellent interpersonal skills to work in partnership with others to influence and gain cooperation. (Required proficiency)
Ability to recognize, evaluates, and solves problems. (Required proficiency)
Strong verbal and written communication skills. (Required proficiency)
Extensive knowledge of the claims development process, as well as third party insurance program requirements. (Required proficiency)
Must possess basic knowledge of ICD-9 and CPT coding. (Required proficiency)
Ability to handle a variety of tasks with speed, attention to detail, and accuracy. (Required proficiency)
Computer literate, experience with basic software packages. (Required proficiency)
This role encounters Protected Health Information (PHI) as part of regular responsibilities. (Required proficiency)
UH employees must abide by all requirements to safely and securely maintain PHI for our patients. (Required proficiency)
Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. (Required proficiency)

Licenses and Certifications

Certified Professional Coder (CPC) (Required) or
Certified Professional Coder (CPC) CPC-H (Required) or
Certified Professional Coder (CPC) CPC-P (Required) or
Certified Professional Coder (CPC) CPC-A (Required) or
Certified Coding Specialist (CCS) CCS-P (Required) or
Registered Health Information Technologist (RHIT) (Required) or
Registered Health Information Administration (RHIA) (Required)
RCC (Required) or
ROCC (Required)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely 20 lbs
Carrying Rarely 20 lbs
Pushing Rarely 20 lbs
Pulling Rarely 20 lbs
Climbing Rarely 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

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LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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