Hyde Park Campus
About the Unit
The Department of Medicine was the first department created when the medical school began over 110 years ago. It has evolved into the largest department not only in the medical school with over 300 full time faculty but is also the largest department in the University. The main missions of the Department of Medicine, scholarship, discovery, education and outstanding patient care, occur in a setting of multicultural and ethnic diversity. These missions are supported by exceptional faculty and trainees in the department. The Department of Medicine also takes great pride in providing unparalleled, comprehensive and innovative patient care. The Department's clinical excellence is continually recognized by the highly regarded US News and World Report. Each of the Department's sub-specialty practices are recognized as programs of national, regional, and local distinction for our novel diagnostic and therapeutic patient care offerings. The Department of Medicine has a long and proud history of research and discovery in the basic, clinical and translational sciences. Currently, the Department of Medicine is among an elite group of medical centers who are leading in the discovery and delivery of personalized medicine. Our impressive pool of talented researchers is renowned for bridging the bench to the bedside, and clinical research evaluations of new drugs and devices. The educational mission of the Department of Medicine is to train exceptional healers and the future leaders in academic medicine. The Department is home to four top residency programs (Internal Medicine, Emergency Medicine, Dermatology and Medicine-Pediatrics) and twelve fellowship programs, including seven federally-funded training grants. Diversity of housestaff and faculty is a key priority in our enterprise, both to cultivate leadership from underrepresented minorities and women and to reflect the ethnic and racial makeup of the patients we serve. Our trainees and faculty are recruited from top medical schools in the country.
The Department of Medicine is seeking an individual to work with providers and staff on professional billing and compliance activities. Prior experience with inpatient professional billing for primary care (internal medicine, geriatrics, hospital medicine) and specialty services (such as rheumatology, infectious diseases) is preferred. Strong knowledge of Evaluation and Management coding guidelines and requirements is strongly preferred.
- Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits.
- Analyze denial and rejection reports, and appeal wherever appropriate.
- Submit charges to UCPG in a timely manner.
- Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on the charge capture and documentation processes.
- Educate physicians and support staff on coding issues, including issues related to fraud and abuse as it relates to coding/professional billing/clinical documentation.
- Attend and participate in meetings related to clinical revenue production and compliance.
- Manage interpersonal relationships and interact/communicate with clarity, tact and courtesy with patrons, patients, staff, faculty, students and others.
- Communicate effectively in English, both orally and in writing.
- Identify priorities; recognize and resolve or refer problems; work effectively with supervision and as a part of a team; use or learn a range of position-related software applications.
Education, Experience, and Certifications:
- Bachelor's degree or 2-4 years of experience in physician billing & coding required.
- Working knowledge of ICD and CPT coding classification systems, coding for third-party payers, including CMS guidelines and reimbursement compliance, and demonstrated knowledge of both specialty and primary care coding concepts to include the application of modifiers and documentation requirements required.
- Must have one of the following: Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT], Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS])
- Thorough working knowledge of medical terminology, anatomy and physiology, as demonstrated by certification through a nationally accredited body (e.g., AAPC or AHIMA) requu
- Prior experience with electronic billing and medical record systems (i.e. Epic, Last Word, and IDX) is required.
- Prior experience in an academic medical center or large, complex hospital-physician billing group preferred.
- Prior experience working with Internal Medicine primary and sub-specialty physician and procedure coding strongly preferred
Salary Range: $21.35-$31.25
Please refer to Additional Requirement above to see the pay ranges
Scheduled Weekly Hours
024- Local 743, I.B.T. Clerical
Job is Exempt?
Drug Test Required?
Does this position require incumbent to operate a vehicle on the job?
Health Screen Required?
Background Check Required?
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