Coding Auditor

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Details

Open Date 05/07/2024 Requisition Number PRN38487B Job Title Coding Auditor Working Title Coding Auditor

• Dermatology 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

Monday

• Friday

VP Area U of U Health

• Academics Department 01455

• Dermatology Clinical Hpp Location Other City Salt Lake City, UT Type of Recruitment External Posting Pay Rate Range 18.89 to 30.00 Close Date Open Until Filled Yes Job Summary

Under supervision of the coding manager, provides coding and compliance support to multi-specialty physicians, mid-level providers, support staff and administration. Auditor will monitor coding and billing activities to ensure activities performed are in compliance with applicable federal and state statutes/regulations.

Provide education and improvement of documentation to departments and staff to ensure accurate coding and billing.

This position may be required to be onsite during training. After training is complete, employees in this position are eligible to work primarily from home/remotely.

Responsibilities

Responsibilities

1.Reviews and audits professional coding and billing for the Dermatology Department.

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

3.Review billing processes for accuracy and process improvements.

4.Identify inaccurate coding services; prepares reports of findings and meets with providers and medical office staff to provide education and training on accurate coding practices and compliance issues.

5.Assists in training personnel in correct documentation processes and coding guidelines.

6.Oversee on-going projects that are within the scope of this position.

Problem Solving

Incumbent must have intricate knowledge of coding rules as outlined by CMS, AHA AMA. S/he must be able to identify areas or items which are not in compliance with the 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.

DISCLAIMER

This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

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

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 or equivalency (one year of education can be substituted for two years of related work 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 Type Benefited Staff Special Instructions Summary Additional Information

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.

The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.

All qualified individuals are strongly 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 (OEO/AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/

Online reports may be submitted at oeo.utah.edu

https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

• Have you obtained certification in medical coding, such as Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), CPC-P, CCS, CCS- P, or equivalent certification?

• Yes

• No

• How many years of coding, clinical, and/or billing experience do you have?

• Less than 2 years

• 2 years or more, but less than 4 years

• 4 years or more, but less than 6 years

• 6 years or more, but less than 8 years

• 8 years or more

Applicant Documents

Required Documents

• Resume

Optional Documents

• Cover Letter

• Addendum to the University of Utah

• Veteran Only

• Call 801.581.2169 after submission

• Appropriate discharge document (such as a DD-214 - Member Copy 4)

• Veteran Only

• Call 801.581.2169