Job no: 517592
Work type: Staff Full-Time
Location: Main Campus (Gainesville, FL)
Categories: Administrative/Professional, Office/Clerical, Veteran's Preference Eligible
Department:29140101 - MD-SURGERY-ADMINISTRATION

Classification Title:

Clinical Coder I

Job Description:

The Department of Surgery is seeking two full-time Clinical Coder I positions to assure that all clinical evaluation and management, as well as surgical procedure services are captured, coded, and billed accurately and timely.

Duties include:

• Reviews daily Evaluation and Management (E&M) charges pending in E&M workqueue. Responsible for resolving charge review edits related to registration, insurance and authorizations. Reconcile daily operating room (OR) schedule and cross-reference the charge in the surgical workqueue. Reviews surgical cases for missing documentation or errors regarding the operative notes or case attestation. Review missing charge report twice per week for any missing charges. Must review case in EPIC to determine if surgery case was actually completed or cancelled. Communicate to providers any charges not submitted. Reports any issues back to supervisor regarding billing and coding edits. Reviews codes assigned by physicians, or assign the appropriate, ICD-10 and CPT codes based on reports and/or progress notes provided by physicians. Assist providers with coding education and feedback to improve their accuracy in code selection.
• Ensure continuous quality improvement of physician coding and team billing practices. This includes review of and recommendations for ICD-10 and CPT coding to ensure compliance with policies for coding and claim submission.
• Ensure clean claim submission by resolving system edits for inpatient and outpatient hospital services and doctor's office edits when applicable. Review and analyze rejections to determine trends; propose solutions for change in process as appropriate. Identify payer-specific trends and provide support to resolve claim issues.
• Implementing procedures and systems for capturing all appropriate physician reimbursement.
• Review, analyze, and code diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments.
• Responsible for training physicians and other staff regarding documentation, billing and coding, and for providing feedback to physicians regarding billing practices.

Expected Salary:

$19.00- $21.00 per hour; commensurate with education and experience.

Minimum Requirements:

High school diploma or equivalent

Preferred Qualifications:

• Prior experience working in a healthcare environment.
• Advanced knowledge of medical terminology.
• Professional coding certification. Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC), Certified Outpatient Coder (COC), Certified Compliance Professional-Physician (CCP-P) or Certified Coding Specialists (CCS-P)
• Demonstrate ease with learning new programs.
• Ability to multitask
• Ability to prioritize work and proceed with minimal supervision.
• Ability to maintain a professional approach at all times and function in a team environment.
• Must be able to communicate effectively both verbally and in writing.

Special Instructions to Applicants:

For consideration, you must apply online. Please upload your cover letter of interest, resume, and three professional references.

The University of Florida is an Equal Opportunity Employer dedicated to building a broadly diverse and inclusive faculty and staff.

This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.

This position may be eligible for remote work after initial training (which is based on experience).

This is a time limited position.

This requisition has been reposted. Previous applicants are still under consideration and need not apply.

Application must be submitted by 11:55 p.m. (ET) of the posting end date.

Health Assessment Required:No

Advertised: 28 Feb 2022 Eastern Standard Time
Applications close: Open until filled