Physician Coding Specialist I Hybrid

Position #: 250007DQ
Position: Physician Coding Specialist I Hybrid
UH Facility: University Hospitals
Shift: Days
Status: Full-time
Work Days of Week: M-F

City: Shaker Heights

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ABOUT US

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These words are more than just our mission, they embody the opportunities available to the world-class doctors, nurses, health care professionals and support staff who choose to join University Hospitals and Be the Difference.

From entry to executive level, every position and every professional at University Hospitals has a direct impact on our ability to offer excellent care to our patients, their families and our community.

Join Us and Be the difference in Advancing the Science of Health and the Art of Compassion.

Equal Opportunity Employer – veterans and individuals with disabilities

JOB DESCRIPTION & QUALIFICATIONS

Description

A Brief Overview

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.

What You Will Do

Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts.
Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines.
Reviews and corrects coding edits and denials.
May code ICD-10 from written documentation.
Meets minimum department productivity standards
Meets minimum department quality standards.
Maintains patient/physician confidentiality at all times and maintains effective communication and professional interaction with patients and physicians.
Provides appropriate information and feedback to various personnel within UHPS. Supports and utilizes established departmental guidelines. Recommends additional research to other CBO departments.
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 at all times.
Interprets written correspondence and either resolves the problem or forwards it to another department for prompt resolution.
Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries.
Handles multiple tasks simultaneously.
Must have an understanding of insurance products and billing requirements to effectively 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.

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (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

Education

High School Equivalent / GED (Required)

Work Experience

1+ years medical billing experience in a multi-specialty practice (Preferred) and

Knowledge, Skills, & Abilities

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)
Must possess basic knowledge of ICD-9 and CPT coding. (Required proficiency)
Ability to recognize, evaluates, and solves problems. (Required proficiency)
Strong verbal and written communication skills (Required proficiency)
Extensive knowledge of the claims development process, as well as third party insurance program (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) or
Certified Coding Specialist (CCS) RCC, ROCC (Required) or
Registered Health Information Technologist (RHIT) (Required) or
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

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LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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