[Hiring] Physician Coding Specialist I @University Hospitals

Role Description

Under the direction of the Revenue Cycle Supervisor - Coding, the Physician Coding Specialist I monitors and analyzes unresolved third-party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims.

• Analyzes outstanding insurance accounts daily in accordance with established time frames.
• Initiates effective telephone and/or written follow-up on identified accounts.
• Communicates with payors and internal departments to obtain critical information impacting claims resolution.
• Researches and responds to telephone inquiries from the customer service department promptly and professionally.
• Reviews and corrects coding edits and denials.
• May code ICD-10 from written documentation.
• Meets minimum department productivity and quality standards.
• Maintains patient/physician confidentiality and effective communication with patients and physicians.
• Provides information and feedback to various personnel within UHPS and supports established departmental guidelines.
• Identifies trends with insurance-related issues and reports findings to the Team Lead.
• Acts as a role model for professionalism through appropriate conduct and demeanor.
• Interprets written correspondence and resolves problems or forwards them for prompt resolution.
• Effectively communicates using telephone, form letters, or internal correspondence to resolve patient inquiries.
• Handles multiple tasks simultaneously.
• Understands insurance products and billing requirements to resolve discrepancies in billing statements.
• Performs other related duties as assigned.

This role will encounter Protected Health Information (PHI) as part of regular responsibilities. UH employees must abide by all requirements to safely and securely maintain PHI for our patients. Annual training, the UH Code of Conduct, and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

• High School Equivalent / GED (Required)
• 1+ years medical billing experience in a multi-specialty practice (Preferred)

Requirements

• Excellent interpersonal skills to work in partnership with others to influence and gain cooperation (Required proficiency)
• Computer literate, experience with basic software packages (Required proficiency)
• Basic knowledge of ICD-9 and CPT coding (Required proficiency)
• Ability to recognize, evaluate, and solve problems (Required proficiency)
• Strong verbal and written communication skills (Required proficiency)
• Extensive knowledge of the claims development process and third-party insurance programs (Required proficiency)
• Ability to handle a variety of tasks with speed, attention to detail, and accuracy (Required proficiency)

Licenses and Certifications

• Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P (Required)
• Certified Coding Specialist (CCS) RCC, ROCC (Required)
• Registered Health Information Technologist (RHIT) (Required)
• Registered Health Information Administration (RHIA) (Required)

Physical Demands

• Standing: Occasionally
• Walking: Occasionally
• Sitting: Constantly
• Lifting: Rarely up to 20 lbs
• Carrying: Rarely up to 20 lbs
• Pushing: Rarely up to 20 lbs
• Pulling: Rarely up to 20 lbs
• Climbing: Rarely up to 20 lbs
• Balancing: Rarely
• Stooping: Rarely
• Kneeling: Rarely
• Crouching: Rarely
• Crawling: Rarely
• Reaching: Rarely
• Handling: Occasionally
• Grasping: Occasionally
• Feeling: Rarely
• Talking: Constantly
• Hearing: Constantly
• Repetitive Motions: Frequently
• Eye/Hand/Foot Coordination: Frequently

Travel Requirements

• 10%25