Clinical Coder III

Apply now Job no: 540735
Work type: Staff Full-Time
Location: Off-Campus Work Location
Categories: Health Care Administration/Support
Department:29140101 - MD-SURGERY-ADMINISTRATION

Classification Title: Clinical Coder III
Classification 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.
Job Description:

The Department of Surgery is seeking a full-time Clinical Coder III position to assure that all clinical evaluation and management procedure services are captured, coded, and billed accurately and timely. Candidates are required to be certified by one of the following institutions: Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. This position is remote, however, an on-site training period may be required based on experience and qualifications.

Job duties include but are not limited to:

  • Performing highly specialized diagnosis and procedure coding for all non-operative and operative procedures performed.
  • Verify all patient data for accuracy and resolve discrepancies.
  • Review reports to determine billable services and apply the appropriate codes in a timely manner.
  • Accurate and timely processing of charges in EPIC.
  • Contacting Physicians or other clinical staff when appropriate to discuss coding, documentation, and/or compliance problems.
  • Discuss coding, documentation, and compliance issues with co-workers on coding, documentation, and/or compliance issues.
  • Demonstrating proficiency in the preparation and communication of physician queries.
  • Remain current on coding and compliance information/guidelines and become an expert in this specialized area of coding.
  • Performs independent research and generates reports as requested by the department chairman, division chiefs, and faculty members via the Assistant Director regarding amounts billed versus amounts paid to determine the effectiveness of coding practices.
  • Review reimbursement reports and track payments for coding issues.
  • Review reports from University of Florida Physicians reflecting payments for charges and use this information to determine if coding is appropriate.
Expected Salary: $25.50 per hour
Required Qualifications:

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:

Three years of coding experience using ICD-10-CM or equivalency.  CCS-P or CPC certification is required.  The incumbent is expected to enroll in continuing education courses to maintain certification.  Six to twelve months would be required to become proficient in most phases of the job.

Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.

Advance knowledge of medical codes involving selections of most accurate and description code, using the ICD-10-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions.

Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-10-CM code.

Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources.

Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

Knowledge of Epic (EMR, Cadence and Resolute) in order to analyze encounters and notify providers of data that needs corrections through EMR broadcasts, notifications and templates.

Must have good math skills and effective communication skills.  Must be knowledgeable of the fiscal requirements, policies, and procedures of federal, state, and University of Florida & Shands programs.  Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data.  Requires skill in the use of a wide variety of office equipment including: computer, typewriter, calculator, facsimile, copy machine, and other office equipment as required. Must be able to follow instructions and work independently.
Special Instructions to Applicants: For consideration, you must apply online. Please upload your cover letter of interest, resume, and three professional references. 

This position is eligible for veteran's preference. If you are claiming veteran's preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration.

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

This requisition has been reposted. Previous applicants are still under consideration and need not apply.
Health Assessment Required: No

 

Advertised: Eastern Daylight Time
Applications close: Eastern Daylight Time

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