Medical Coding/Billing Specialist - Medical Education Administration Division

The University of Wyoming invites diverse applicants to consider our employment opportunities. We are also especially interested in candidates who have experience working with diverse populations and/or diverse initiatives.

JOB TITLE:

Medical Coding - Billing Specialist

JOB PURPOSE:

Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines. Perform tasks related to provider services to include edit reviews and claim resolution.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Audit information about procedures performed and diagnosis on charge.

• Provide coding and documentation education for clinical staff.

• Responsible for Athena worklists applied to medical necessity and/or coding denials.

• Complete coding assignments following coding and reimbursement guidelines.

• Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers and accuracy according to payer policies and regulatory requirements.

• Review and enter charges based on documentation in the record.

• Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing.

• Resubmit claims as a daily task.

• Submit claims to the patient's secondary insurance (including the primary carrier's EOB) after receiving the correct payment from the primary carrier.

• File UB-94 and HCFA 1500 claim forms to insurance.

SUPPLEMENTAL FUNCTIONS:

• Perform miscellaneous job-related duties as assigned.

• Participate in performance-related goal setting and achievement to meet personal and organizational goals and objectives.

• Attend and participate in training and other personal professional development activity.

COMPETENCIES:

• Attention to Detail

• Consistency

• Service Orientation

• Teamwork

• Analysis/Problem Identification

• Technical/Professional Knowledge

REMOTE WORK ELIGIBILITY:

This position is eligible for remote work and/or a flexible work schedule.

MINIMUM QUALIFICATIONS:

Education: High School/GED or equivalant

Experience: 2 years related experience in healthcare setting

Required licensure, certification, registration or other requirements: Certified Professional Biller (CPB) or Certified Professional Coder (CPC)

DESIRED QUALIFICATIONS:

• Experience working within an FQHC or RHC clinic.

• Demonstrate ability to meet critical deadlines.

• Demonstrate sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.

• Demonstrate ability to communicate effectively, both verbally and in writing, with internal and external clients.

• Work independently to identify and resolve complex client problems.

• Be able to work and handle competing priorities while meeting or exceeding deadlines.

• Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems. knowledge of Word, Excel, PowerPoint, Access, and Outlook.

REQUIRED MATERIALS:

Complete the online application and upload the following for a complete application: cover letter, resume or C.V. and contact information for four work-related references.

HIRING STATEMENT:

UW is an Affirmative Action/Equal Opportunity Educator and Employer. We are committed to a multicultural environment and strongly encourage applications from women, minorities, veterans and persons with disabilities.

In compliance with the ADA Amendments Act (ADAAA), if you have a disability and would like to request an accommodation to apply for a position, please call 307-766-2377 or email jobapps@uwyo.edu.