Job Information

University of Utah Quality Assurance Educator in Salt Lake City, Utah

Details

Open Date 10/13/2022

Requisition Number PRN32663B

Job Title Coding Educator

Working Title Quality Assurance Educator

Job Grade F

FLSA Code Administrative

Patient Sensitive Job Code? No

Standard Hours per Week 40.0

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 79,700 - 90,400

Close Date

Open Until Filled No

Job Summary

The Coding Educator is responsible for providing quality assurance education, analysis, and recommendations for the revenue cycle process. The Educator will act as a resource on coding, system and regulatory policy issues. This position will have a strong focus on quality improvements associated with the revenue cycle for appropriate and consistent coding and billing. The Coding Educator will develop educational programs to ensure appropriate staff (i.e., Medical Account Coding Specialists, Coders, and Coding Auditors) maintain and sustain proficient understanding of University of Utah Health quality assurance needs. Examples of educational programs include coding regulations, coding updates, applicable clinical knowledge, and national, fiscal intermediary, and organization-specific coding and reimbursement guidelines. This individual will develop and build direct, interactive, dynamic relationships with physicians, departments, management, and staff.

Responsibilities

1. Provides individual and group coding, billing and regulatory education/presentations to coding staff, physicians, and other stakeholders throughout the organization; monitors and reports progress to ensure compliance with coding standards and expectations.

2. Develops & coordinates curriculum related to diagnosis and procedural coding, and all related federal and state billing regulations.

3. Research and evaluate coding, documentation practices, and processes, and identify billing policy and coding trends through data analysis or chart review.

4. Responsible for denial prevention, recommendations, and communications through resolution.

5. Research and responds to questions/concerns from internal and external staff.

6. Manages, supervises, and collaborates in conjunction with coding auditors and/or medical account coding specialists to mentor and provide continuous feedback.

7. Attends regular meetings with internal and external stakeholders (for example clinical departments).

8. Monitors work quality and employee productivity to ensure adherence to department standards.

9. Special projects as assigned.

10. Other duties as assigned.

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

AHIMA or AAPC Coding Certification. Minimum of Five years of progressively complex coding experience for outpatient and provider services.

Complete and accurate knowledge of ICD -10, HCPCS , and CPT coding. Ability to interpret and understand laws and regulations at a Federal and State level. Ability to identify coding and charging errors. Proficient knowledge of anatomy, physiology and pathophysiology. Comprehensive knowledge of Medicare/Medicaid and third party coding requirements. Demonstrated human relations and effective communication skills courses; excellent interpersonal skills and strong team player. Ability to work in a culturally diverse environment. Intermediate computer skills with Excel, PowerPoint, Word, Outlook, OneNote.

Previous adult teaching experience is preferred.

Preferences

· Ability to recognize patterns, abstract reasoning, and problem-solving on a regular basis.

· Ability to remain flexible and resilient in the face of change and resistance.

· Ability to identify multiple drivers as well as the dynamic integrations and relationships between them

· Ability to create new and better ways for the department to be successful

· Comfortable with strategy and revenue cycle data; ability to use data to make decisions

· Ability to make sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.

· Experience developing people to meet both their career goals and the department’s goals.

· Previous adult training experience

· Data analytics and root cause analysis

· Revenue cycle expertise with a focus on coding denials and appeals

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.