Clinical Coder III- Department of Neurosurgery

Apply now (https://secure.dc4.pageuppeople.com/apply/674/gateway/default.aspx?c=apply&lJobID=532862&lJobSourceTypeID=796&sLanguage=en-us) Job no: 532862

Work type: Staff Full-Time

Location: Main Campus (Gainesville, FL)

Categories: Office/Administrative/Fiscal Support, Health Care Administration/Support

Department: 29190000 - MD-NEUROLOGICAL SURGERY

Classification Title:

Clinical Coder III

Job Description:

-Performs highly specialized diagnosis and procedural coding for all operative procedures and

inpatient consulting services performed by the faculty of the Department of Neurological Surgery including

those performed in Gainesville and Halifax Regional Medical Center. Requires review of operative reports and/or progress notes to determine documentation of billable services and to either verify or to apply the appropriate ICD-10 and CPT codes. Confirms physician attestation statements are in place, when appropriate. Provides

guidance and education to attending surgeons, fellows and residents on all coding issues. As coding

questions arise, incumbent is responsible for researching issues through all available resources including

but not limited to professional associations, federal and private payer guidelines, and coding networks.

Meets with Department Chair or Administrator on a regular basis to review individual or product line

coding issues. Verifies patient demographic and health insurance data for accuracy and resolves any

discrepancies.

Responsible for ensuring that there are no unsigned or missing operative records. Enters charges for both surgical cases and non-surgical inpatient events.

Responsible for chart reviews for the purpose of regulatory and coding compliance and to ensure all

services appropriate for coding and charging have been captured. Ensures proper documentation of

teaching provider involvement. This position is responsible for monitoring and correcting all TES edits in

the Epic system. Sets up guarantor accounts in Epic by determining if charges are considered

personal/family, auto, worker’s comp, etc. Adds insurance information into Epic by determining what the

relationship of the patient is to the subscriber, obtaining insurance policy numbers and claim address and

subscriber information such as date of birth, address, etc. Fills out claim information record for every

charge submitted in Epic, by adding items such as date of injury, state of injury, type of injury, admit date, discharge date, authorization number, etc. Verifies patient insurance by electronic submission through Epic checking website or by contacting insurance company via telephone. Determines if patient was an emergency admit, hospital to hospital transfer or an endovascular case for statistical database.

-Collaborates with the leadership of the department in developing processes to positively impact the

revenue cycle and insurance collections. Responsible for monitoring and analyzing denial and write-off

trends. Once unfavorable reimbursement and billing trends are identified, the incumbent is responsible

for assisting the department leadership in generating processes to resolve unfavorable trends.

-Works closely with Assistant Director to determine charges to be rendered for surgical procedures

and insurance reimbursement on those patient accounts. Attends monthly meetings with the Coder’s

Forum to review EPIC product line performance and coding issues. Conducts independent research and

prepares reports as requested by Associate Director and faculty members to determine appropriateness

and effectiveness of coding practices.

-Attends periodic meetings, seminars and classes to improve coding skills. Remains current on coding

changes and works to become an expert in neurosurgical coding. Reviews publications for same

purpose.

-Train faculty members and residents on methods of coding and billing and keep them apprised of coding changes, as well as assists faculty with the resolution of coding questions and problems.

Serves as a liaison to multiple internal and external entities including, but not limited to:

Department of Neurosurgery

University of Florida Physicians (UFP)

Compliance Office

Expected Salary:

$21.84-$28.38

Minimum Requirements:

High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

Preferred Qualifications:

• Knowledge of medical terminology, surgical coding

• Knowledge of business and office practice;

• Knowledge of Excel, and other applicable software.

• Ability to analyze financial data and able to generate understandable reports.

• Ability to communicate effectively, verbally and in writing

Special Instructions to Applicants:

For consideration, please complete an application and include a cover letter, resume and the names and email addresses of three to five references.

The University of Florida is committed to non-discrimination with respect to race, creed, color, religion, age, disability, sex, sexual orientation, gender identity and expression, marital status, national origin, political opinions or affiliations, genetic information and veteran status in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

To claim veterans' preference, indicate the claim on the application and provide required documentation by uploading a DD-214 (or equivalent certification from the Department of Veteran Affairs) and any additional supporting documentation based on the type of claim.

This requisition has been reposted. Previous applicants are still under consideration and need not apply.

Application must be submitted by 11:55 p.m. (ET) of the posting end date.

Health Assessment Required:No

Advertised: 22 Aug 2024 Eastern Daylight Time

Applications close: 27 Sep 2024 Eastern Daylight Time