Outpatient/Provider Coder II

University of Utah Health•Salt Lake City, UT

About The Position

This position is responsible for abstracting, coding, and interpreting outpatient clinic and provider services for professional or facility billing. The coder abstracts and records data from medical records and supports areas related to documentation and coding. The position does not provide patient care. University of Utah Health is a patient-focused organization committed to enhancing health and well-being through patient care, research, and education. Its culture emphasizes collaboration, excellence, leadership, respect, compassion, innovation, responsibility, integrity, quality, and trust. The University of Utah is a Level 1 Trauma Center, nationally recognized for academic research, quality standards, and patient experience. Its five hospitals and eleven clinics provide comprehensive services, medical advancement, and patient outcomes.

Requirements

  • Demonstrated potential ability to perform the essential functions of the position.
  • Human relations and effective communication skills.
  • Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
  • Proficiency with computer software, such as Microsoft Word and Excel.
  • Ability to maintain certifications through continuing education credits.
  • Ability to train others.
  • An AHIMA- or AAPC-recognized certification, such as CCA, CPC, COC, CPC-H, CPC-P, CCS, CCS-P, RHIA, RHIT, or another specialty certification indicated by the department; alternatively, three years of coding experience.
  • Two years of coding, clinical, or billing experience.
  • Incumbents qualifying under the equivalency requirement without certification must obtain an AHIMA- or AAPC-recognized certification within six months of hire.

Nice To Haves

  • Experience organizing and conducting coding or billing education.

Responsibilities

  • Reconcile clinic or provider visits and report missing, incomplete, or inconsistent documentation by contacting appropriate personnel.
  • Review, abstract, and code multiple or subspecialty services and assign appropriate coding classifications.
  • Provide feedback to providers, hospital staff, and clinic managers on billing-related issues.
  • Research and resolve high-volume accounts and complex suspended claims.
  • Interpret and apply basic regulatory guidelines to coding and reimbursement decisions.
  • Adhere to department quality and productivity standards.
  • Assist with other department coding needs as requested.
  • Mentor and assist in training Level I Coders.
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