[Hiring] Physician Coding Specialist II @University Hospitals

Role Description

Under the direction of the Revenue Cycle Supervisor - Coding, the Physician Coding Specialist II 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 and follows 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 professionally.
• Reviews and corrects coding edits and denials.
• May code ICD-10 from written documentation.
• May abstract CPT/HCPCS codes.
• May perform computer-assisted coding functions.
• Maintains knowledge of coding rules and payer guidelines.
• Consistently meets department productivity and quality standards.
• Maintains patient/physician confidentiality and effective communication.
• Provides feedback to various personnel within UHPS and recommends additional research.
• Identifies trends with insurance-related issues and reports findings to the Team Lead.
• Acts as a role model for professionalism.
• Interprets written correspondence and resolves or forwards issues for prompt resolution.
• Handles multiple tasks simultaneously.
• Understands insurance products and billing requirements to resolve discrepancies.
• 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.

Qualifications

• High School Equivalent / GED (Required)
• 2+ years of medical billing experience (Required)
• Billing experience in a multi-specialty group is a plus (Preferred)

Requirements

• Excellent interpersonal skills to work in partnership with others (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 program requirements (Required proficiency)
• Basic knowledge of ICD-9 and CPT coding (Required proficiency)
• Ability to handle a variety of tasks with speed, attention to detail, and accuracy (Required proficiency)
• Computer literate, experience with basic software packages.

Licenses and Certifications

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

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