University of Utah Revenue Integrity Auditor in Salt Lake City, Utah

Details

Open Date 04/05/2018

Requisition Number PRN16806B

Job Title Coding Auditor

Working Title Revenue Integrity 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

M-F 8:00-4:30 or 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 $25.86 - 27.67 per hour

Close Date

Open Until Filled Yes

Job Summary

Provides coding, revenue cycle, compliance support, and education to multi-specialty physicians, mid-level providers, support staff and administration. Auditor will monitor coding and billing activities and workflows to ensure they are performed are in compliance with applicable federal and state statutes/regulations in addition to revenue cycle efficiencies.

Responsibilities

1.Collects data and analyzes to find billing pattern aberrancies or anomalies, and to drive audit case selection

2.Reviews and audits professional coding and billing from multiple departments and entities of University Health Care

3.Reports on the accuracy of procedure, E&M,ICD-10 coding and billing to ensure compliance with legal and procedural policies

4.Reviews billing and revenue cycle processes for accuracy and process improvements

5.Identifies inaccurate coding and billing practices; prepares reports of findings and meets with providers and medical office staff to provide education and training on accurate coding practices, compliance risks, and revenue cycle efficiencies

6.Collaborates with managers and supervisors to provide workflow recommendations for efficiency and accuracy

7.Educates department staff in addition to clinical employees in correct documentation processes, billing practices and coding guidelines based on federal guidelines and accepted societal publications

8.Ad hoc projects 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. 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

•Intermediate Excel skills

•Clear understanding of all aspects of the revenue cycle from scheduling to payment collection

•Proficient research, writing and presentation skills

•Experience in public speaking and giving presentations

•Incumbent should have intricate knowledge of coding and payment rules as outlined byCMS,AHAAMA. S/he should be able to identify areas or items, which are not in compliance with these 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.

•Excellent problem solving skills

Type Benefited Staff

Special Instructions Summary

Additional Information

The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.

To inquire about this posting, email: employment@utah.edu or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: oeo@umail.utah.edu .

The University is a participating employer with Utah Retirement Systems (“URS”). To be eligible for retirement contributions, you must be hired into a benefit-eligible position. Certain new hires are automatically assigned to the URS retirement plan and other employees with prior URS service, may elect to enroll in the URS within 30 days of hire. Regardless of whether they are hired into a benefit-eligible position or not, individuals who previously retired and are receiving monthly retirement benefits from URS must notify the Benefits Department upon hire. Please contact Utah Retirement Systems at (801)366-7770 or (800)695-4877 or the University’s Benefits Department at (801)581-7447 for information.

This position may require the successful completion of a criminal background check and/or drug screen.