Job Description
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This position is responsible for accurate coding which translates into clinical revenue: Coordinate the coding, billing and/or reimbursement processes, and audit of claims/reimbursements/reports/etc. for a health care services unit with regards to Medicare, Medicaid, Champus, and other related payor policy areas. Research patient record documentation and prepare letters to appeal adverse determinations in payment. Research reimbursement issues and write responses to clarify or refute clinical decisions made by payers; keep appropriate medical coding staff and departments informed of applicable regulatory changes to billing and coding rules. Review medical coding staff work and provide feedback to ensure coding accuracy, coordinate workload and establish efficiencies for coding team, create processes and policies, provide feedback to providers regarding documentation improvements. Supervise assigned Professional Coding and Revenue medical coding team. Monitor medical coding team goals and objectives to ensure timely completions. Assist in interviewing, selection, training, discipline and mentoring as well as evaluating medical coding staff. Work closely with other professionals and administrators, internal and external to the University, to resolve coding and/or reimbursement issues. Prepare and/or perform special assignments/projects, conduct feasibility studies, and perform related financial and/or clinical analysis.
Other duties as assigned.

Shift
Days – Hours may vary depending on the assigned department needs, Remote position requiring be onsite two days a week.

Minimum Qualifications
Bachelor’s degree in health services management, finance, business, accounting, nursing, or health-related profession, or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.

Three (3) years of experience in medical coding, specific to reviewing documentation and assigning ICD-9/10 and CPT codes, reviewing payer guidelines and requirements to manage payer edits, and/or audit or denials coordination.

Experience in medical terminology and ICD-10, CPT coding and DRG’s, and APC’s.

Certification in one of the following:
--Certified Coding Specialist (CCS)
--Registered Health Information Administrator (RHIA)
--Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA); or
--Certified Professional Coder (CPC)
--other equivalent certification by American Academy of Professional Coders (AAPC).