Clinical Coder II

University of Florida•Gainesville, FL

23h

About The Position

The Department of Community Health & Family Medicine is seeking a Clinical Coder II. The incumbent will be responsible for charge activity for all Family Medicine Clinic/Hospital providers. The key role will be to optimize billing performance in compliance with all University of Florida, College of Medicine, and State and Federal guidelines. This would be accomplished by performing post-billing compliance chart reviews in partnership with the Coding Supervisor to identify key educational opportunities for residents, staff, and billing providers. The incumbent should be able to articulate such information and participate in educational sessions, seminars/programs to ensure current coding practices are compliant.

Requirements

High school diploma or equivalent and three years of professional medical coding experience.
Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.
Certified Professional Coder (CPC)/American Academy of Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA).
Proficiency in data entry required.
Knowledge of anatomy and medical terminology required.
Knowledge of Documentation and Coding Guidelines for outpatient clinic and physician hospital services.
Excellent verbal and written communication skills required to effectively work as a liaison with all individuals contacted during the course of work.
Analytical skills developed through formal education or on the job training with a medical practice or other health care organization.
Demonstrated competence with personal computer or other computer systems.
Must possess skills to research coding issues through all available sources, including but not limited to professional associations, federal and private payor guidelines, and coding networks.

Nice To Haves

Experience with a billing and coding system such as Epic.

Responsibilities

Perform charge reviews in appropriate database (minimum of 35 per day).
Review of physician coded encounters for accuracy of ICD-10 and CPT codes and confirms adequate teaching provider documentation.
At the direction of the Coding Supervisor, perform clinic and hospital chart reviews to provide results to the department compliance educator.
Provide education on coding and documentation improvement.
Provide education to physician, residents, ARNP’s, PA’s and staff in regards to documentation, reimbursement, and compliance.
Provides feedback to providers regarding billing and coding questions and works with provider to resolve these questions to ensure accurate coding.
Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.
Keeps abreast of annual coding updates.
Reviews claim work queues and denials for coding issues and provider education.
Review charge entry edits and payer denials to provide education to faculty and staff.
Other duties as assigned by the supervisor.