Job Information

University of Utah Coding Auditor in Salt Lake City, Utah

Open Date 01/13/2022

Requisition Number PRN28932B

Job Title Coding Auditor

Working Title 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

As arranged

VP Area U of U Health - Academics

Department 00209 - Univ Medical Billing - Oper

Location Other

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range $28.75 – 30.93

Close Date

Open Until Filled Yes

Job Summary

REMOTE OPPORTUNITY . Provides 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. Auditor will monitor coding and billing activities to ensure activities performed are compliant with federal and state statutes/regulations. Auditor will review for clinical documentation improvement opportunities and revenue cycle efficiencies and report recommendations to the appropriate stakeholders.

Responsibilities

  1. Reviews and audits professional coding and billing from multiple departments and entities of University Health Care.
  2. Reports on the accuracy of procedure, E&M, ICD -10 coding and billing to ensure compliance with payer, legal and procedural policies.
  3. Reviews billing and revenue cycle processes for accuracy and process improvements.
  4. 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.
  5. Conducts education and training to department staff and clinical employees in correct documentation processes and coding guidelines.
  6. 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.
  7. Meets productivity and accuracy expectations of the position.
  8. Ad hoc projects as assigned.
  9. Other duties as assigned.

Problem Solving

Incumbent must have intricate knowledge of coding rules as outlined by CMS , AHA AMA . S/he must be able to identify areas or items which are not in compliance with the rules, present findings in a coherent and succinct format to diverse groups (e.g. physicians, nurses, administrators/directors coders, billers) and recommend appropriate changes to policies and procedures.

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.

Work Environment and Level of Frequency typically required

Nearly Continuously: Office environment.

Physical Requirements and Level of Frequency that may be required

Nearly Continuously: Sitting, hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking.

Seldom: Bending, reaching overhead.

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. 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

· Proficiency with computer software such as Microsoft Word and Excel (e.g., pivot tables, data manipulation)

· 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 for root causes

Type Benefited Staff

Special Instructions Summary

Additional Information

The University of Utah values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are 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:

Director/ Title IX Coordinator

Office of Equal Opportunity and Affirmative Action ( OEO /AA)

135 Park Building

Salt Lake City, UT 84112

801-581-8365

oeo@utah.edu

Online reports may be submitted at oeo.utah.edu

For more information: https://www.utah.edu/nondiscrimination/

To inquire about this posting, email: employment@utah.edu (%20employment@utah.edu) or call 801-581-2300.

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.