Billing Specialist II - Surgical Coder
UT Southwestern Medical Center, Dallas, TX
Full-Time, Day Shift
Take
advantage of this opportunity to join UT Southwestern Medical Center – ranked
one of the “Best Places to Work” by the Dallas Business Journal.
Due to our continued growth, UT Southwestern Medical Center is seeking a Billing Specialist II- Surgical Coder.
Job Duties:
·
Analyzes, investigates and resolves coding edits
for E&M services, diagnostic studies, and minor surgical procedures. This
includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit
resolution. Requires knowledge of the carrier's (Federal/State/Private)
regulations and guidelines, internal revenue cycle coding processes and be
familiar with the billing practices of the specialty service line. This
position requires a high degree of organization and accuracy and requires clear
communication with providers on a regular basis to insure visits are well
documented and meet all billing requirements.
·
Performs limited abstracting on E&M
services, diagnostic studies, and moderate to minor surgical procedures.
Requires the ability to read the progress note and or procedure results and
confirm or change the CPT code(s), diagnosis code(s) and modifiers (if
applicable). Requires knowledge of the carrier coverage policies and be
familiar with the billing practices of the specialty service line. Must be
familiar with the Medicare and Medicaid teaching physician documentation
billing rules.
·
Investigates and resolves coding and registration
Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier
registration filing order rules and billing rules.
·
Performs manual charge entry for all
non-EpicCare and non-automated sites of services. This includes E&M visits
and procedures across several centralized service lines. Depending on the
clinical department they may be required to review and release charges from a
computer assisted coding environment.
·
Periodically assists in obtaining insurance
authorizations and accurately maintaining the authorization records,
communicate patient balance and patient-responsibility amounts to clinics
and/or patient/families, responding to requests for information. Attend coding
and billing in-services to stay current on changes; attend other meetings and
training as assigned.
·
Performs other duties as assigned.
Requirements:
·
High School diploma or equivalent; associate degree
preferred.
·
Four (4) years medical billing or collections
experience; One (1) year must include billing and or denials management for
complex E&M services, diagnostic studies, and/or minor surgical procedures.
·
Working knowledge of Epic Resolute, EpicCare,
and Epic CPOE.
·
Certified Professional Coder (CPC), Advanced
Records Technician (ART), or Registered Records Administrator (RRA) preferred.
This
position is security-sensitive and subject to Texas Education Code 51.215,
which authorizes UT Southwestern to obtain criminal history record information.
About UT Southwestern Medical Center:
UT
Southwestern Medical Center ranks among the top academic medical centers with
more active Nobel Prize winners than any other medical school in the world. As
a premier educational, clinical and research institution, UT Southwestern is
home to more than 2,000 distinguished scientists, physicians and allied health
professionals. Our University Hospital has achieved Magnet® recognition by
the American Nurses Credentialing
Center (ANCC), joining only 7% of hospitals in the United States.
UT Southwestern is an Affirmative
Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals
with disabilities are encouraged to apply.