Job Information
University of Utah Quality Assurance Coding Auditor in Salt Lake City, Utah
Details
Open Date 07/01/2024
Requisition Number PRN39028B
Job Title Coding Auditor
Working Title Quality Assurance Coding Auditor
Job Grade E
FLSA Code Nonexempt
Patient Sensitive Job Code? No
Standard Hours per Week 40
Full Time or Part Time? Full Time
Shift Day
Work Schedule Summary
UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time
VP Area U of U Health - Academics
Department 00209 - Univ Medical Billing - Oper
Location Other
City Other
Type of Recruitment External Posting
Pay Rate Range $36-$38 per hour
Close Date
Open Until Filled Yes
Job Summary
University Medical Billing ( UMB ) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidates will exemplify these attributes too.
We are looking for an experienced Quality Assurance Coding Auditor to join our team. As a Coding Auditor at UMB , you will be responsible for providing coding, revenue cycle, compliance support, and education to multi-specialty physicians, other qualified health care professionals (e.g., Nurse Practitioners, Physical Therapists, Midwives), support staff and administration. Auditors monitor coding and billing activities to ensure activities performed are compliant with federal and state statutes/regulations, review for clinical documentation improvement opportunities and revenue cycle efficiencies, and report recommendations to the appropriate stakeholders.
Compensation & Benefits
The starting salary for this position is $36-$38 per hour, depending on experience. Members of UMB are eligible for a bonus based on department performance. All team members are eligible for the University’s comprehensive benefit package that includes 90% employer- paid medical insurance, a generous 14.2% retirement contribution, reduced tuition, PTO and holiday pay, and more!
Employment is contingent on the successful completion of a background check and the adherence to departmental policies, including UMB’s Telecommuting Agreement which requires a distraction-free and HIPAA compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during office hours or assigned shift (M-F, approximately 8am to 5pm Mountain Time) regardless of what time zone you live in. Additionally, new hires are required to provide their own monitors (two) and reliable internet service.
Responsibilities
Essential Functions:
Reviews and audits professional coding and billing from multiple departments and entities of University Health Care.
Reports on the accuracy of procedure, E&M, ICD -10 coding and billing to ensure compliance with payer, legal and procedural policies.
Reviews billing and revenue cycle processes for accuracy and process improvements.
Identifies inaccurate coding practices; prepares reports of findings and meets with providers and medical office staff in-person to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies.
Conducts education and training to department staff and clinical employees in correct documentation processes and coding guidelines.
Provides education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state, and payer specific) and health insurance processing.
Meets productivity and accuracy expectations of the position.
Ad hoc projects as assigned.
Other duties as assigned.
Minimum Qualifications
American Health Information Management Association ( AHIMA ) or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ), Certified Professional Coder-Hospital ( CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist – Physician Based ( CCS - P), Registered Health Information Administrator ( RHIA ), Registered Health Information Technician ( RHIT ), or other specialty certification indicated by the department, plus 4 years coding, clinical, or billing experience or equivalency (one year of education can be substituted for two years of related work experience). Departments may prefer specific certifications over others.
Demonstrated human relations and effective communication skills also required; proficiency with medical terminology.
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Preferences
*An especially qualified candidate will also possess the following: *
At least 4 years of coding experience, including at least two surgical specialty areas.
Intricate knowledge of coding rules as outlined by CMS , AHA AMA . Must be able to identify areas or items which are not in compliance with rules, present findings in a coherent and succinct format to diverse groups (e.g., physicians, nurses, administrators, director, coders, billers) and recommend appropriate changes to policies and procedures.
Proficient and confident in writing, communication, and presentation skills.
Experience and understanding of Federal regulations and payer policies with the ability to interpret the information.
Problem solving skills with the ability to identify and analyze root causes.
Proficiency with computer software such as Microsoft Word and Excel (e.g., pivot tables, data manipulation).
Disclaimer
This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
Type Benefited Staff
Special Instructions Summary
While UMB is a remote department and this role will be performed remotely, interested applicants should note the following:
This role is expected to work during UMB office hours which are Monday through Friday, 8am to 5pm Mountain Time.
The University of Utah is committed to providing jobs to individuals located in Utah, and sees remote roles like this as an opportunity to provide amazing employment opportunities to those living in remote areas of the state. As such, Utah-based applicants may be prioritized in the screening process.
At this time, the University of Utah is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.
Additional Information
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.
All qualified individuals are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/
Online reports may be submitted at oeo.utah.edu
https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.