The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was ranked #22 on the 2021-2022 U.S. News & World Report 2021-22 for Gynecology.
The Department of Obstetrics and Gynecology is seeking an individual to assist department with successful professional billing and compliance activities.
Under minimal supervision, the Abstractor/Coder II will focus on more complex encounters that may require a deep understanding of a specific specialty, ability to research and reference check problematic coding. This position will act as a collaborator with providers and clinical areas to ensure the medical record accurately reflects the patient's service. They will serve as a mentor for other staff regarding documentation, billing and coding. An individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes.
Responsible for moderate to highly complex coding within the unit.
Code high dollar procedural area and have the ability to provide feedback to physicians on how to improve procedural documentation to ensure to revenue is not missed.
Interdepartmental coding education support.
Assist with providing education to the team on how to document appropriately.
Helps to train and mentor coding staff to effectively perform their job responsibilities following current coding policies and procedures.
Assists coders with medical terminology, disease processes and complex techniques.
Research and resolution of coding projects as assigned.
Support with resolving denials by reviewing payer policies and drafting appeal letters.
Notify management of any discrepancies' and collaborates as needed to rectify the account.
Proficient in Microsoft Office Applications required.
Ability to work independently and as part of a team.
Ability to proactively anticipate physician needs and resolve problems required.
Ability to thrive in fast-paced environment and effectively manage competing tasks, deadlines, and needs.
High levels of collaboration and initiative, strong editing skills and superb organizational abilities required.
Ability to provide excellent customer service required.
Education, Experience, or Certifications:
High School Diploma or equivalent required.
Bachelor’s degree preferred.
5 years of experience working in physician/healthcare billing and physician coding required.
Prior experience working with OB/GYNE primary and sub-specialty physician and procedure coding strongly preferred.
Prior experience with electronic billing and medical record systems (i.e. EPIC) is strongly preferred.
Licenses and Certifications:
Certification through AAPC with CPC credential or AHIMA CCS-P credential is required.
Technical Knowledge or Skills:
Working knowledge of ICD version 10 and CPT coding classification systems, coding for third-party payers, including CMS guidelines and reimbursement compliance, and demonstrated knowledge of both specialty and primary care coding concepts to include the application of modifiers and documentation requirements required.
Proficiency in Microsoft Word, Excel, and Adobe required.
Manage interpersonal relationships and interact-communicate with clarity, tact, and courtesy with patrons, patients, staff, faculty, students, and others required.
Identify priorities; recognize and resolve or refer problems; work effectively with supervision and as part of a team required.
Reference Contact Info Upon Request
When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.
Requires Compliance with University Covid-19 Vaccination Requirement
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