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Requisition Number 17-0109
Title Coding & Billing Specialist - Intermediate/Advance/Senior - Dept of Medicine
Location UVA Medical Center
City Charlottesville
Hours per week Full Time
Description POSITION TITLE: Coding & Billing Specialist – Intermediate

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-10 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-10 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the University of Virginia Physicians Group.
 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.
 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.


POSITION TITLE: Coding & Billing Specialist - Advanced

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-10 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-10 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the University of Virginia Physicians Group.
 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 department request issue and recommends possible solutions.
 Other duties as requested by supervisor.


POSITION TITLE: Coding & Billing Specialist - Senior

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-10 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-10 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the University of Virginia Physicians Group.
 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 department request issue and recommend possible solutions.
 Other duties as requested by supervisor.


WORKING CONDITIONS: General busy clinical office environment

We are an Equal Opportunity Employer
Requirements 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-10 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):
Advanced 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-10 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 operations.
 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.


REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):
Senior Level:

Education:
 High School Diploma or GED
Experience:
 Coding Certificate and 3 years coding experience; or 7 years professional coding experience
 CPCs must be certified by AAPC or CCS-P through AHIMA to qualify for all functional areas
 Successful completion of Medical Terminology
 In-depth knowledge of CPT-4 and ICD-10 coding
 Must know modifiers, and use of local policies
 In-depth knowledge of third-party payer reimbursement policies
Knowledge and skills:
 Familiarity with personal computer operations
 Basic word processing and spreadsheet software required
 Must have experience creating spreadsheets, reports, and trends data






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