Home

Coding & Billing Specialist Intermediate/Advanced - Internal Medicine

University of Virginia Health System
Charlottesville

Job Description

The incumbent is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Essential Functions of the Job:

Reviews medical record documentation to identify all services provided by physicians.
Assigns appropriate CPT-4 procedure code(s) to accurately report the physician services provided to patients
Assigns appropriate ICD-10 diagnosis code(s) to accurately support the need for each physician service.
Assists with the submission of billing data to the University of Virginia Physicians Group.
Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
Identifies physician services provided, but not adequately documented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
May assist with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
May compile monthly reports as requested
May identify trends/problems in medical documentation and department request issue and recommends possible solutions
Other duties as assigned by supervisor.

MINIMUM REQUIREMENTS FOR INTERMEDIATE LEVEL:

REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):

Education:

High School Diploma or GED
Experience:

Knowledge and/or experience in a health care setting a plus
In-depth knowledge of third-party payer reimbursement policies
Incumbent must have successfully completed the following classes: Medical Terminology
Certified Coding Certificate or two years of coding/clinical experience
Incumbent should have a working knowledge of CPT-4 and ICD-10 coding and modifier use
Knowledge and skills:

Familiarity with personal computer operations
Basic word processing and spreadsheet software skills required
Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus

MINIMUM REQUIREMENTS FOR ADVANCED LEVEL:

REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):

Education:

High School Diploma or GED
Experience:

Three years coding experience; or Professional Coding Certification with one year coding experience.
Incumbent must have knowledge of all billing through 6-month training plus demonstrated knowledge of the respective specialty (surgery; neurosurgery, etc.) area.
Incumbent must have successfully completed the following classes: Medical Terminology.
Must successfully complete internal proficiency exam through in-house training..
Incumbent should have a working knowledge of CPT-4 and ICD-10 coding and modifier use.
Knowledge and/or experience in a health care setting a plus.
In-depth knowledge of third-party payer reimbursement policies and procedures a plus.
Knowledge and skills:

Familiarity of personal computer operations.
Basic knowledge of word processing and spreadsheet software required.
Must have experience creating spreadsheets, reports, and trends data.Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus.

The University of Virginia, including the UVA Health System and the University Physicians Group are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.

Employment Type

Full time

Save