The University of Texas Southwestern Medical Center
Senior Reimbursement Specialist/Medical Coder - Surgery
The University of Texas Southwestern Medical Center, Dallas, Texas, United States, 75215
Job Description - Senior Reimbursement Specialist - Surgery (909369)
Job Description
Senior Reimbursement Specialist - Surgery - ( 909369 )
Description
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world‑renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on‑site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY Works under general supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions.
BENEFITS
PPO medical plan, available day one at no cost for full‑time employee‑only coverage
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Work Schedule: Monday-Fri (8am-5pm). This position is mostly remote but may need to come onsite for meetings, etc. Candidate must reside in Texas.
EXPERIENCE AND EDUCATION Required
Education
High School Diploma or GED
Experience
6 years of progressively responsible experience in medical insurance, medical billing or medical reimbursement
Preferred
Licenses and Certifications
(CPC) CERT PROFESSIONAL CODER Upon Hire or Advanced Records Technician (ART), Upon Hire or (RRA) REGISTERED RECORDS ADMIN Upon Hire
JOB DUTIES
Performs complex policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes; ensures contracts reflect appropriate business decisions.
Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately.
Conducts meetings, organizes activities, reviews data analyses and reports, and creates reimbursement policies and procedures.
Documents findings of inquiry and opinion letters. Maintains contract files, and files for research documents.
Provides supervision to staff of lower grade in reimbursement operations.
Performs other duties as assigned.
SECURITY AND EEO STATEMENT Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
#J-18808-Ljbffr
Job Description
Senior Reimbursement Specialist - Surgery - ( 909369 )
Description
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world‑renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on‑site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY Works under general supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions.
BENEFITS
PPO medical plan, available day one at no cost for full‑time employee‑only coverage
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Work Schedule: Monday-Fri (8am-5pm). This position is mostly remote but may need to come onsite for meetings, etc. Candidate must reside in Texas.
EXPERIENCE AND EDUCATION Required
Education
High School Diploma or GED
Experience
6 years of progressively responsible experience in medical insurance, medical billing or medical reimbursement
Preferred
Licenses and Certifications
(CPC) CERT PROFESSIONAL CODER Upon Hire or Advanced Records Technician (ART), Upon Hire or (RRA) REGISTERED RECORDS ADMIN Upon Hire
JOB DUTIES
Performs complex policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes; ensures contracts reflect appropriate business decisions.
Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately.
Conducts meetings, organizes activities, reviews data analyses and reports, and creates reimbursement policies and procedures.
Documents findings of inquiry and opinion letters. Maintains contract files, and files for research documents.
Provides supervision to staff of lower grade in reimbursement operations.
Performs other duties as assigned.
SECURITY AND EEO STATEMENT Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
#J-18808-Ljbffr