Coding Specialist 2

About the Job

The University of Minnesota's School of Dentistry (SOD) is seeking a Coding Specialist 2 to support all departments with medical coding needs, including Oral Surgery, Periodontics, and Oral Facial Pain. This role involves reviewing and correcting claim rejections, appealing denials, and analyzing electronic health records (EHR) to apply appropriate ICD-10, CPT, HCPCS, and CDT codes based on services provided and SOD billing policies / industry standards.

This position will be located onsite at Moos Tower for the first 6 months, and may have the ability to move to a hybrid schedule (3 days in office, 2 days remote) after probation and training.

This is a full-time (40 hours / week) position.

The work schedule is Monday-Friday 8-4 : 30

POSITION RESPONSIBILITIES

SOD Coding Support 20%

• Serve as resource person for coding and compliance questions for TMD, Radiology, Prosthodontics, Periodontics, OMS, Special Health Needs Clinic and other clinics that may need it. Instruct physician and non-physician practitioners (Includes residents, students, and faculty members) on compliance regulations and coding guidelines and documentation.
• Create and deliver presentations for ongoing education for students, residents, and faculty to educate on current coding changes and / or presentations on code and / or procedure groups and then type of documentation needed for billing and prior authorization
• Create and maintain training material and update as needed.
• Research and problem solve reoccurring claim rejections due to coding issues.
• Create and keep an open line of communication with SOD clinics and their doctors (OMS, radiology, TMD, perio, etc)
• Review EHR documentation for other clinics that need help with coding and provide appropriate CPT / CDT / ICD-10 / HCPCS codes.
• Work with clinics that utilize charge masters, check out forms, and order forms to insure they have the most current CPT / CDT / ICD-10 codes on the charge masters.
• Review medical claims rejections for the claims department.
• Work with the claims department and providers to write letters of medical necessity as needed for claim denials.
• Research problem claims identified by the claims department, compare coding with medical and / or dental record documentation and make any appropriate changes.
• Identify and problem solve reoccurring claim rejections due to coding issues and / or documentation issues and provide individual and group training as needed to limit reoccurring rejections.
• Identify and problem solve reoccurring claim denials rejections due to coding issues and / or documentation issues and provide individual and group training as needed to limit reoccurring rejections.
• Call insurance company and / or research individual insurance policies on claim rejections and / or claim denials to limit claim delays due to possible coding or documentation issues and provide individual or group training as needed.
• Answer coding questions from providers and other staff as needed.
• Educate clinics on proper use of ABNs and non-covered service agreements (NCSA). Work with the clinics to implement a process to identifying accounts that require signed ABNs or NCSA and getting patient signatures. Educate staff on proper use of modifiers when posting charges for accounts with ABNs / NCSA.
• Answering phones, triage of calls from patients, Fairview-University Medical Center, residents, doctors, other providers within U, front desk, and records requests.

OMS / TMD / CPC Clinic and OR Coding Support 60%

Prior Authorizations (PA) 20%

Qualifications

All required qualifications must be included in the application materials

Required Qualifications

Preferred Qualifications

About the Department

The University of Minnesota is the state’s only dental school and the only dental school in the northern tier of states between Wisconsin and the Pacific Northwest. The School of Dentistry advances health through scientific discovery, innovative education, and the highest quality care for all communities. Our impact extends beyond dental offices to classrooms and clinics throughout the region. We educate dentists, dental specialists, dental therapists, dental hygienists, dental educators, and research scientists.

Pay and Benefits

Pay Range : $52,291-$86,257; depending on education / qualifications / experience

Time Appointment Category :  75%-100% Appointment (If job description above does not specify appointment or expected weekly hours, assume a 100% appointment.)

Position Type : Civil-Service & Non-Faculty Labor Represented Staff