UF Health

Compensation

Full Description

Overview Summary: Review, analyze and assign the final diagnoses and procedures as stated by the practicing provider's documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes, verbally, physically, and in written forms. Responsibilities Responsibilities: • Review clinical documentation and code to the highest level of specificity for accurate charge capture. • Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills. • Assign and sequence appropriate codes and modifiers using current procedure, diagnosis , and HCPCS to services billed. • Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines. • Communicates with Physicians, other business group personnel, clinical areas, and staff in coding related questions. • Manage coding related edit work queues. • Prepares documentation audits with written results and trend data. Presents the results to the Provider, Department Chairman, and/or Compliance Officer. • Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately. • Identify and account for missing charges and/or documentation. • Performs coding work requiring independent judgment with timeliness and accuracy. • All other duties as assigned Qualifications Qualifications: • Experience Requirements: • 3 years- Medical billing - Preferred • 3 years- Extensive experience in physician coding - Required • Medical management information systems and medical software - Required • Education: • High School Diploma - Required • Certification/Licensure • Certified Professional Coder (CPC) - Required at time of hire • Additional Duties: • Additional duties as assigned may vary. UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.