This recruitment will be used to fill one full-time Program Representative 1: Medical Coder position for the Student Health Services at Oregon State University (OSU). Student Health Services provides health care services and health education to the students of Oregon State University. Under the direction of the Revenue Cycle Manager this position supports the daily administrative operations of SHS and works with confidential and time-sensitive information involving student health information. This is a completely remote position where the person in this role will work independently from a remote location with support supplied by SHS.
The Program Representative 1 is charged with ensuring claims are coded correctly and troubleshooting claims errors to confirm the accuracy of the billing records which comply with the claims, coding and coverage requirements of each insurance company or agency. The Medical Coder is responsible for reviewing clinical documentation and accurately assigning appropriate diagnosis using the International Classification of Diseases version 10 (ICD-10), and procedure codes using Current Procedural Terminology (CPT) with use of CPT Level 1 modifiers and Healthcare Common Procedure Coding System (HCPCS) completing coding for services provided at Oregon State Student Health Center. This position will conduct periodic training of physicians and licensed medical staff to ensure appropriate coding practices are used, as well as developing training curriculum for use by the medical staff. This position ensures compliance with federal, state, and payer regulations while supporting timely and accurate billing, reimbursement, and reporting.
This position responds to questions and provides information and assistance to patients, Student Health services staff, and the university community, which requires the exercise of responsible judgment, tact, efficiency, and the ability to work under pressure. The individual in this position must be able to prioritize their time according to the work and multiple deadlines. They must be able to re-direct themselves as situations change and act proactively in solving or referring patient problems and complaints.
Working for Oregon State University is so much more than a job! Oregon State University is a dynamic community of dreamers, doers, problem-solvers and change-makers. We don't wait for challenges to present themselves — we seek them out and take them on. We welcome students, faculty and staff from every background and perspective into a community where everyone feels seen and heard. We have deep-rooted mindfulness for the natural world and all who depend on it, and together, we apply knowledge, tools and skills to build a better future for all.
Oregon State University offers a comprehensive benefits package with benefits eligible positions that is designed to meet the needs of employees and their families including: Medical, Dental, Vision and Basic Life. OSU pays 95% of premiums for you and your eligible dependents. Free confidential mental health and emotional support services, and counseling resources. Retirement savings paid by the university. A generous paid leave package, including holidays, vacation and sick leave. Tuition reduction benefits for you or your qualifying dependents at OSU or the additional six Oregon Public Universities. Robust Work Life programs including Dual Career assistance resources, flexible work arrangements, a Family Resource Center, Affinity Groups and an Employee Assistance Program. Optional lifestyle benefits such as pet, accident, and critical illness insurance, giving you peace of mind and the support you need to thrive in all aspects of your life.
Two years of technical or professional-level experience advising and/or instructing the public concerning specific programs or processes, monitoring programs, or performing participant reviews. Knowledge of medical billing/business office procedures in a human healthcare environment using electronic medical record (EMR). Experience working with and strong knowledge of medical coding including CPT, Level 1 HCPC's and ICD10 coding. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential. Understanding of HIPAA regulations and healthcare compliance standards. Excellent oral, written and interpersonal communication skills. Demonstrated experience with and/or commitment to working effectively with individuals from diverse backgrounds, in support of an inclusive and welcoming environment. Be able to work independently without daily oversight.