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Requisition Number 17-0092
Title Billing Quality Educator
Location University Avenue
City Charlottesville
State VA
Hours per week Full time
Description University of Virginia Physicians Group
Job Description
POSITION TITLE: Billing Quality Educator
DEPARTMENT: Billing Quality
REPORTS TO: Assistant Manager, Billing Quality

GENERAL SUMMARY: The Billing Quality Educator is responsible for providing healthcare consulting services to physicians, residents, allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Essential functions of the job:
 Collaborates at all levels to resolve billing and documentation issues and uses external resources and professional judgment to resolve issues that are not clearly defined.
 Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions.
 Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to the Councils.
 Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for implementing appropriate changes.
 Conducts internal reviews and provides quality review of external billing quality audits.
 Works with providers and department billing staff to address and resolve documentation deficiencies.
 Develops and implements Clinical Documentation Improvement Programs in partnership with the clinical departments.
 Serves on various Health System committees and teams as assigned to represent the interests of the UVA Physicians Group and its healthcare providers.
 Creates and delivers presentations to clinical faculty and billing staff.
 Special projects and other duties as assigned.
Requirements REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):
Education:
 Bachelor’s degree and CCS-P or CPC coding certification or
 Five or more years related work experience with CCS-P or CPC certification
 Prefer RHIA or RHIT certification
Experience:
 Knowledge of third-party payer reimbursement, coding, and documentation requirements
 Experience in Evaluation and Management coding preferred
 Demonstrated experience in mentoring, training and teaching professionals preferred
Skills:
 Demonstrated analytical and research experience
 Basic knowledge of and experience utilizing a personal computer
 Intermediate word processing, spreadsheet, presentation, and database software skills required
 Epic experience a plus
Strong surgical coding experience a plus


SUPERVISORY RESPONSIBILITIES: This position does not have any positions reporting to it.

WORKING CONDITIONS:
• General office environment
• Ability to walk two flights of steps
• Often excessive walking to other locations in the health system
• Ability to lift and carry approximately up to 25 pounds of training materials

COMPETENCIES:
 Customer focus: knowing the (internal and external) customer business needs and acting accordingly; anticipating customer needs, and giving high priority to customer satisfaction and customer service.
 Problem solving: having the ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines
 Continuous learning: actively and continuously gaining insight of strengths and weaknesses in order to identify the relevant areas that need further development (with regards to skills and knowledge) and acting upon it.
 Stress tolerance: performing well when faced with pressure due to time frame, workload, adversity, disappointment, or opposition.
 Teamwork: working as a productive member of a cohesive group toward a common goal, and contributing to team development and effective team dynamics.

UPG is an Equal Opportunity Employer
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