Job DescriptionUnder general supervision, responsible for assisting with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting the medical record for services provided to patients.Responsibilities Conducts quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with all coding and billing standards. Researches and resolves coding related denials as reported. Reviews and resolves services in charge review to identify coding issues/trends. Recommends changes to policies and procedures to improve professional fee coding and data management. Performs all aspects of daily work in a manner that contributes to and ensures an environment of strict confidentiality. Provides feedback to providers based on quality reviews to minimize errors. Develops and performs training regarding documentation, billing and coding to inform providers of changes/updates in guidelines or activities that prevent denials or increase revenue. Provides education regarding coding, billing and documentation to end users and ancillary staff as needed. Reports compliance issues detected through reviews and collaborates with Compliance to identify and implement corrective action plan to resolve issue. Serves as a resource for coding activities within the assigned department(s) and/or sub-specialties. Performs all others duties as assigned.Qualifications Knowledge of Federal, State and Payer regulations. Proficiency in ICD-10 and CPT coding. Strong leadership skills; ability to apply judgment in making informed decisions. Proven ability to manage a multiple responsibilities while meeting objectives and working with teams. Strong verbal, written and interpersonal communication skills. Detail-oriented with meticulous planning and organizational skills. EXPERIENCE: Five (5) years related experience is required. EDUCATION: High school diploma or GED is requiredLICENSES/CERTIFICATION: Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.About UsBenefits Overview UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits. Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses. Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers. Time Off - A generous leave program offers multiple paid leave options: Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire. Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken. Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment. Holidays: 12 set paid holidays each year. Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.EEO Statement UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.
UT Health San Antonio