Outpatient/Provider Coder II

University of Utah HealthSalt Lake City, UT
Onsite

About The Position

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Requirements

  • An American Health Information Management Association (AHIMA) or American Academy of Professional coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Registered Health Information Administrator (RHIA, Registered Health Information Technician (RHIT), or other specialty certification indicated by the department, or three years of coding experience.
  • Two years of coding, clinical, or billing experience.
  • Incumbents qualifying under the equivalency requirement, without certification, must obtain an American Health Information Management Association (AHIMA) or American Academy of Professional coders (AAPC) recognized certification within six months of hire.

Nice To Haves

  • Preferred Experience in organizing and conducting coding or billing education.

Responsibilities

  • Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel.
  • Reviews, abstracts, and codes multiple/sub specialty services and assigns appropriate coding classification.
  • Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing related issues.
  • Researches and resolves high volume accounts and complex, suspended claims.
  • Interprets and applies basic regulatory guidelines to coding and reimbursement decisions.
  • Assures adherence to department quality and productivity standards.
  • Assists with other department coding needs as requested.
  • Serves as a mentor and assists in the training of Level I Coders.
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