The University of Texas
Medical Billing and Coding jobs in Texas , USA – Apply for Surgery Coding & Billing Specialist, (UT Health Austin) Jobs at The University of Texas – Austin, TX (On-site). See the job description, requirements, and the link to apply.
- Competitive health benefits (employee premiums covered at 100%, family premiums at 50%)
- Voluntary Vision, Dental, Life, and Disability insurance options
- Generous paid vacation, sick time, and holidays
- Teachers Retirement System of Texas, a defined benefit retirement plan, with 7.75% employer matching funds
- Additional Voluntary Retirement Programs: Tax Sheltered Annuity 403(b) and a Deferred Compensation program 457(b)
- Flexible spending account options for medical and childcare expenses
- Robust free training access through LinkedIn Learning plus professional conference opportunities
- Tuition assistance
- Expansive employee discount program including athletic tickets
- Free access to UT Austin’s libraries and museums with staff ID card
- Free rides on all UT Shuttle and Austin Cap Metro buses with staff ID card
- For more details, please see: https://hr.utexas.edu/prospective/benefits and https://hr.utexas.edu/current/services/my-total-rewards
Purpose Under the direction of the Revenue Cycle Management Manager, the Surgery Coding & Billing Specialist is responsible for assuring that the all UT Health Austin surgery claims (professional and facility) are coded and billed according to established criteria utilizing available resources both automated and manual based on documentation in the medical record provided by the attending, consulting physicians and clinical information.
- Assures that proper documentation is available in the medical record prior to coding and that it is complete. Code diagnoses, procedures, complications and co-morbidities for all patients accurately for all surgery claims; including both professional and facility claims. Demonstrates knowledge and remains current in regard to ICD’s current version, CPT codes, and modifiers. Identifies additional charges for implants and devices, applying appropriate HCPCS codes.
- Verifies insurance contract fees for each procedure, device, or implant. Enters charges into patient accounting system. Follows through to assure the coding is finalized so that the professional and facility claims can be generated and submitted. Responsible for working claim denials and Accounts Receivables
- Responsible for the accurate and timely resolution of professional and facility billing claim and clearinghouse edits, as well as payer rejections. Assist in Month End procedures and reporting. Maintains working day-to-day knowledge of the electronic health record (EHR).
- Thoroughly researching reasons for denied claims and working appeals as necessary to resolve outstanding balances. Identifying and documenting new payer denial trends, and notifying supervisor for escalated follow up. Provide excellent customer service to patients regarding outstanding balances and assist in setting up patient payment plans. Remains current with the coding and processing of records to assure timely coding. Utilizes the available automated systems to achieve peak efficiency and accuracy.
- Demonstrates expertise in the use of the automated systems and any other that may pertain to coding. Maintains required certification and training in the area of coding and abstracting. Interacts positively, friendly and professionally with physicians, patients/family, office staff, hospital staff, medical supply company representatives, insurance companies, attorneys, worker’s compensation adjusters and others.
- Identifies opportunities to teach co-workers, medical staff and professionals regarding the documentation of medical care which supports accurate coding. Speaks clearly, concisely and with consideration and respect in a group or one-on-one. Articulates thoughts wells and has a good rapport with listeners. Communication is clear, concise and understandable. Presentation is always polite, considerate and patient. Listens well. Additional business office functions as determined by supervisor
Behavioral Specific Expectations
- Supports and adheres to all company policies and procedures. Supports and adheres to personnel policies and programs, which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program.
- Interacts with patients, fellow employees, physicians, and other stakeholders in a manner which encourages quality patient care, harmonious working relationships, positive customer relations, and which enhances the image and reputation of the center.
- Demonstrates dependability and accountability. Demonstrates a willingness to help others. Supports the center’s mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments.
- Maintains a professional image through proper attire, language, and conduct. Keeps management informed of any malfunctions in instruments, equipment, and supplies. Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety standards/practices/policies.
Required Qualifications Two years in medical environment with experience coding and billing in an ASC environment (including Orthopedics, Pain management, GI, General, Gynecological, Ophthalmology, Urology). Certification required. (American Health Information Management Association (AHIMA), the American Academy of Professional Coders (AAPC) or other nationally recognized authority on hospital coding) Years of experience may substitute for certification requirement. Must be able to communicate and understand the English language both verbal and written. Computer literate. Experience and knowledge of Athena and Microsoft Office product required. Knowledge of medical terminology. Knowledge of managed care contracts. Previous experience working in an electronic practice management system. High School Diploma. Previous experience as a medical coder in an ASC setting. Relevant education and experience may be substituted as appropriate.
- Work hours are variable based on patient care needs;
- Ability to sit and stand for prolong periods of time, ability to walk, some bending, stooping and stretching;
- Capability for overhead and low reaching activities;
- Requires hand-eye coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and occasional use of other office equipment;
- Requires normal range of hearing/eyesight/voice projection to record, prepare, and communicate appropriately;
- Physical strength for equipment needs and patient care activities; may require frequent lifting/moving up to 20 pounds and occasional lifting/moving in excess of 25 pounds;
- Ability to move quickly in response to patient needs;
- Ability to make constant/frequent judgment/response to problem;
- Subject to varying and unpredictable situations, high stress/pressure, handles emergency or crisis situations, regular interaction with emotional patients and/or family members;
- Work is performed in a patient care setting and may involve exposure to infections, communicable diseases and hazardous materials, radiation/laser, waste gases and blood and body fluids. Frequent exposure to water and chemicals used in disinfection/sterilization process.
- 3 work references with their contact information; at least one reference should be from a supervisor
- Letter of interest
Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.
- E-Verify Poster (English) [PDF]
- E-Verify Poster (Spanish) [PDF]
- Right To Work Poster (English) [PDF]
- Right To Work Poster (Spanish) [PDF]
Compliance Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the 2021 report here or obtain a copy at University Compliance Services, 1616 Guadalupe, Suite UTA 2.206, Austin, TX 78701.
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How to Apply
To apply for this job please visit utaustin2.wd2.myworkdayjobs-impl.com.