Sr. Professional Coder, FT, SCCC, Anesthesiology
Job location: Miami, FL
Employment Type: Full-time
Posted data: 2020-10-13
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The department of Anesthesiology is actively seeking a full-time Sr. Professional Coder. The Sr. Professional Coder helps to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients.
- Identifies incomplete documentation and seeks clarification from the responsible physician. Identifies misplaced or potentially litigious documentation and reports findings to appropriate party for action.
- Verifies patient information to identify any documentation and/or report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient's account/encounter .
- While reviewing the record for coding validation purposes, serves as quality reviewer of scanned documents. Identifies mis-scans: poorly scanned documents, and misplaced documentation; promptly reports findings to the Professional Coding Integrity Manager or Scanning Manager.
- Assesses documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for services provided to ensure the organization receives its entitled reimbursement for care provided. Collaborates with others in the organization including medical staff and other clinicians to ensure the record accurately documents the services provided and to identify documentation trends that can prospectively address deficiencies.
- When necessary accurately assigns and sequences ICD-9/ICD-10CM diagnostic and/or CPT E&M and procedural codes to professional encounters.
- Understands and complies with policies and procedures related to medico-legal matters including confidentiality , amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc.
- Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management personnel and reports problems, errors, and discrepancies in dictation and patient records to the Professional Coding Integrity Manager or Director.
- Attends all required in-services; Identifies and attends training and educational programs conducive to professional growth.
- Utilizes current literature and workshops attended to the benefit of UHealth.
- Routinely volunteers to assist others when his/her work is completed.
- Educates physicians and other clinicians on documentation issues and coding idiosyncrasies.
- Assists with the training of new team members, residents, and lower-level coders.
- Performs other duties as assigned and requested.
KNOWLEDGE, SKILLS, AND ATTITUDES
- Ability to work independently and follow written and verbal instructions and to identify potentially problematic situations and recommend proactive resolutions.
- Experience with Microsoft Outlook, Word and Excel applications
- Knowledge of information systems and health care applications
- Ability to learn new applications/products as needed on an accelerated basis
- Ability to communicate and teach information, provide resources, and answer questions .
- Time management, prioritization skills, and ability to meet frequent rigid deadlines required.
- Advanced medical terminology, anatomy and physiology and pathophysiology.
- Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Office (CCS-P), Certified Professional Coder (CPC), Certified lnterventional Radiology Cardiovascular Coder (CIRCC), or Radiology Certified Coder (RCC) OR
- Registered Health Information Technician (RHIT} or Registered Health Information Administrator (RHIA)
- High school diploma or equivalent
- Minimum 3 year of professional coding experience
- Preferred - Member of the American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC), with maintenance of continuing education requirements
- Fluent in English, both oral and written
Any appropriate combination of relevant education, experience and/or certifications may be considered.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.Job Status:Full timeEmployee Type:StaffPay Grade:c104