Billing Specialist III
UT Southwestern Medical Center, Dallas, TX
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 III.
Analyzes, investigates and resolves coding edits
for complex diagnostic studies, endoscopic, interventional and/or surgical
procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge,
and custom edit resolution. Requires strong knowledge of the carrier's
(federal/state/private) regulations and guidelines, internal revenue cycle
coding processes and specialty specific service line billing practices. This
position requires a high degree of organization, accuracy and clear
communication with providers on a regular basis to ensure services are well
documented and meet all billing requirements.
Performs abstracting on E&M services,
complex diagnostic studies and/or endoscopic, interventional or surgical
procedures. Requires the ability to read the progress note and or
procedure/surgical results and confirm or change the CPT code(s), diagnosis
code(s) and modifiers (if applicable). Requires strong knowledge of the carrier
coverage policies and documentation requirements for specialty specific service
lines. Must know the Medicare and Medicaid teaching physician documentation
Serves as a resource to the FERC team leads,
compliance auditors, medical collectors and billing specialists I & II.
Requires a billing and coding knowledge level that provides guidance on and
resolution to resolve claim denials, rejections and backend coding edits.
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.
Investigates and resolves coding and
registration Epic resolute claim edits. Requires strong knowledge of Epic's
carrier registration filing order rules and billing rules.
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.
Duties performed may include one or more of the
following core functions: (a) Directly interacting with or caring for patients;
(b) Directly interacting with or caring for human-subjects research
participants; (c) Regularly maintaining, modifying, releasing or similarly
affecting patient records (including patient financial records); or (d)
Regularly maintaining, modifying, releasing or similarly affecting
human-subjects research records.
Performs other related duties as required.
High School diploma or equivalent, associate
degree preferred and six (6) years medical billing or collections experience. Two
(2) years must include billing and or denials management for complex E&M
services, diagnostic studies, and/or minor surgical procedures.
Experience involving complex diagnostic studies,
endoscopic, interventional and/or surgical procedures preferred.
Requires working knowledge of Epic Resolute,
EpicCare, and Epic CPOE.
Certified Professional Coder (CPC), Advanced
Records Technician (ART), or Registered Records Administrator (RRA) preferred.
position is security-sensitive and subject to Texas Education Code 51.215,
which authorizes UT Southwestern to obtain criminal history record information.
To learn more and to apply, please visit: https://jobs.utsouthwestern.edu/billingsp
About UT Southwestern Medical Center:
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.