Clinical Coder II

Clinical Coder II

Department

Revenue Services

Employment Type (Full-time / Part-time / PRN)

Full-Time

Revenue Integrity Manager

Who We Are :

As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175+ providers across 19 specialties to meet the healthcare needs of the Mid-South community.

UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.

Position Summary :

The Clinical Coder is responsible for the assignment of diagnosis and procedural codes for inpatient, observation, E / M levels, and outpatient records through review of physician documentation.

Must provide and verify demographic and required billing information to ensure complete data entry for billing. Additionally, ongoing communication is provided to physicians and their support staff to keep them educated in the functions required in the coding and billing process.

Follow all CPT, Medicare, and other appropriate coding guidelines. Resolve all Claims Manager edits daily. Report all coding opportunities to the Manager of Revenue Integrity.

Ensures and maintains the confidentiality of patient information and other UCH business information by HIPAA and other compliance standards.

Complies with the Code of Conduct and other established policies, including but not limited to compliance, quality, and safety.

Acts in accordance with University Clinical Health's mission at all times.

Key Results Areas (KRAs) :

• Assign / verify ICD 10-CM codes
• Interpret data to id all diagnoses & procedures
• Assign and sequence codes for services
• Assign CPT codes for services / procedures
• Assign modifiers to procedures / service codes
• Link ICD 10-CM codes to proper CPT
• Data collection
• Report nonbillable services

Core Competency :

• Excellent verbal and written communication skills
• Strong attention to detail and accuracy to maintain data integrity
• Demonstrated commitment to efficiency and quality results
• Aptitude to build and manage positive relations with clinic staff
• Proven ability to use sound judgment to make good decisions based on information gathered and analyzed
• Committed to supporting UCH's standard of medical excellence

EOE- University Clinical Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws.

University Clinical Health is a VEVRAA Federal Contractor - priority referral Protected Veterans requested.

Requirements

Education & Experience :

• High School Diploma required
• 5 years of coding experience required
• Experience with chart review and assignment of diagnostic and procedural codes related to a patient episode of care
• Thorough knowledge of medical terminology and anatomy / physiology background essential
• Experience with ICD 10-CM, CPT, and modifier coding required
• CPC certification or equivalent required
8 days ago