Clinical Coder III
Inside Higher Ed, Gainesville, FL, United States
Position
Clinical Coder III
(Full Time)
Main Campus (Gainesville, FL)
Essential Functions
Reviews provider progress and procedure reports through EPIC for extraction of billable services for all patients (inpatients and observation short stays) for Nephrology which may include inpatient attending and consultation services.
Performs highly specialized coding abstraction for Evaluation and management services and dialysis procedures and acts as an expert in Nephrology.
Applies appropriate CPT and ICD-10 codes and confirms adequate teaching provider documentation.
Responsible for charge data entry into EPIC Resolute while ensuring clean claim submission to include working any edits that Charge Review may generate.
Resolves all denials by working closely with University of Florida Physicians (UFP) in order to maximize revenue and prevent errors. Assists other divisions in coding and billing as needed to ensure appropriate lag time is maintained.
Provides feedback to providers regarding accurate documentation, reimbursement maximization, and compliance.
Develops and maintains documentation standards for coding and creates training materials. Schedules and facilitates educational sessions with providers individually and/or in groups to communicate coding guidelines. Meets regularly with billing providers to address areas in need of improvement.
Reviews and validates that provider note templates are set up with compliant drop downs and selections.
Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.
Informs supervisors and faculty of important changes in coding and reimbursement.
Provides guidance to other coders by acting as a coding resource/expert when needed.
Miscellaneous Duties
Prioritizes work assignments based on urgency and deadlines.
Attends continuing education courses, seminars, conferences, and meetings in order to increase knowledge and maintain coding credential.
Works cooperatively with Departmental and Divisional billing staff to resolve backlog and provide back‑up coverage of billing functions for vacations and illnesses of other billing staff members.
Serves as a liaison to multiple internal and external entities including, but not limited to:
Department of Medicine
Other Divisions within the Department of Medicine
Hospitalist physicians
University of Florida Physicians (UFP)
Compliance Office
Referring physicians, patients, and patients' families
Constantly strives to represent the Division, Department, and University in a positive, courteous, and professional manner.
Other duties as assigned.
Expected Salary
$25.38 - $29.00
Required Qualifications
High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/American Academy of Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA).
Preferred Qualifications
Ability to work independently
Ability to handle confidential material in compliance with HIPAA
Proficiency in data entry
Our Commitment
The University of Florida is an Equal Employment Opportunity Employer.
Hiring is contingent on eligibility to work in the U.S. The University of Florida is a public institution and is subject to all requirements under Florida Sunshine and Public Record laws. If an accommodation due to a disability is needed to apply for this position, please call 352-392-2477 or the Florida Relay System at 800-955-8771 (TDD) or visit Accessibility at UF.
#J-18808-Ljbffr
Clinical Coder III
(Full Time)
Main Campus (Gainesville, FL)
Essential Functions
Reviews provider progress and procedure reports through EPIC for extraction of billable services for all patients (inpatients and observation short stays) for Nephrology which may include inpatient attending and consultation services.
Performs highly specialized coding abstraction for Evaluation and management services and dialysis procedures and acts as an expert in Nephrology.
Applies appropriate CPT and ICD-10 codes and confirms adequate teaching provider documentation.
Responsible for charge data entry into EPIC Resolute while ensuring clean claim submission to include working any edits that Charge Review may generate.
Resolves all denials by working closely with University of Florida Physicians (UFP) in order to maximize revenue and prevent errors. Assists other divisions in coding and billing as needed to ensure appropriate lag time is maintained.
Provides feedback to providers regarding accurate documentation, reimbursement maximization, and compliance.
Develops and maintains documentation standards for coding and creates training materials. Schedules and facilitates educational sessions with providers individually and/or in groups to communicate coding guidelines. Meets regularly with billing providers to address areas in need of improvement.
Reviews and validates that provider note templates are set up with compliant drop downs and selections.
Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.
Informs supervisors and faculty of important changes in coding and reimbursement.
Provides guidance to other coders by acting as a coding resource/expert when needed.
Miscellaneous Duties
Prioritizes work assignments based on urgency and deadlines.
Attends continuing education courses, seminars, conferences, and meetings in order to increase knowledge and maintain coding credential.
Works cooperatively with Departmental and Divisional billing staff to resolve backlog and provide back‑up coverage of billing functions for vacations and illnesses of other billing staff members.
Serves as a liaison to multiple internal and external entities including, but not limited to:
Department of Medicine
Other Divisions within the Department of Medicine
Hospitalist physicians
University of Florida Physicians (UFP)
Compliance Office
Referring physicians, patients, and patients' families
Constantly strives to represent the Division, Department, and University in a positive, courteous, and professional manner.
Other duties as assigned.
Expected Salary
$25.38 - $29.00
Required Qualifications
High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/American Academy of Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA).
Preferred Qualifications
Ability to work independently
Ability to handle confidential material in compliance with HIPAA
Proficiency in data entry
Our Commitment
The University of Florida is an Equal Employment Opportunity Employer.
Hiring is contingent on eligibility to work in the U.S. The University of Florida is a public institution and is subject to all requirements under Florida Sunshine and Public Record laws. If an accommodation due to a disability is needed to apply for this position, please call 352-392-2477 or the Florida Relay System at 800-955-8771 (TDD) or visit Accessibility at UF.
#J-18808-Ljbffr