EDUCATION & EXPERIENCE: Minimum Qualifications: - Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: One of the following: - CCA – Certified Coding Associate (AHIMA) or - CCS – Certified Coding Specialist (AHIMA) or - CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or - RHIA – Registered Health Information Administrator (AHIMA) or - RHIT – Registered Health Information Technician (AHIMA) - CIC – Certified Inpatient Coder (AAPC) or - COC – Certified Outpatient Coder (AAPC) or - CPC – Certified Professional Coder (AAPC) or - CPC-A – Certified Professional Coder – Apprentice (AAPC) or - CRC – Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for Inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. ESSENTIAL JOB FUNCTIONS: - Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes. - Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record. - Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. - Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed. - Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required. - Attends and participates in coding education sessions. - Obtains required CEU’s for certification and completes any required education. - Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines. - The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations. - Work all PB/HB claim edits and reject errors daily. - Hospital DNB’s will be worked as assigned per Specialty. - Work charge reconciliation to ensure all services provided are captured for coding in a timely manner. - Adheres to internal controls and reporting structure. Marginal or Periodic Functions: - Performs related duties as required. KNOWLEDGE/SKILLS/ABILITIES: - Strong written and oral communication skills. WORKING ENVIRONMENT/EQUIPMENT: - Standard office environment at UTMB’s main campus or other location. - Occasional travel may be required. - Standard office equipment SALARY RANGE: Actual salary commensurate with experience. WORK SCHEDULE: Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Position Title: Referral Coordinator Department: GHG Referrals Location: Remote Purpose: To provide care and contribute to the welfare of patients and families through support of the standards and philosophies of Genesis. Manages patient referrals and tests for specific providers at their designated locations, maintains office records and serves as a liaison between patient and medical support staff. Report To: Supervisor, Outpatient Services Supervisory Responsibility: No Supervision. The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others. Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated. Key Relationship: - Co-workers/Health System Employees - Outside Agencies/Other Health Care Providers - General Public/Visitors/Volunteers - Patients, Families, and Significant Others - Third Party Payors/Insurance Companies - Vendors/Clients - Physicians/Medical Office Staff - Students/Interns/Residents/Outside Instructors - Auditors/Review Agencies Qualifications - Education: High school plus additional course work up to 1 year - Special Training: Medical Office Procedures - Training Preferred: ICD and CPT code knowledge - Licensure/Registration: LPN in Iowa & Illinois or Certified Medical Assistant within 6 months of hire - Experience: More than 1 year experience required Requirements - Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters. - Working Conditions: There is limited exposure to moderately adverse and undesirable environmental conditions. There are some health and safety risks. Position may require safety equipment and precautions. The amount of time the employee may experience these moderate conditions is limited to 35% or less of their work day. - Possible Exposure to Blood Borne Pathogens: Yes Company Description Our Commitment: Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Team Lead is responsible for providing support and subject matter expertise to the HEALTHCARE first outsourced billing team. This position is responsible for managing the results and customer relationship. This lead must exercise accountability and professionalism in maintaining the high level of service our team and customers deserve. This role reports to the Supervisor of A/R Management. - Drive results for customers including A/R follow up, RAP and NOE submission, reporting, appeals, day-to-day operations, and cash collections. - Assist with training and development of team members in proper Revenue Cycle procedures. - Involved in onboarding/housekeeping information for new hires, overview of Billing Services and products, and other training needs as necessary. - Provide subject matter expertise to the team in the following areas: - Billing Processes - EDI Information (if applicable) - A/R Management - Learn all software of assigned accounts to assist with troubleshooting and training as necessary. - Establish and maintain a collaborative relationship with assigned customers. - Identify and develop solution strategies to address operational issues and develop additional services. - Understand industry payer rules, regulations, billing codes, and requirements. - Maintain confidentiality and knowledge of HIPAA regulations. - Support implementation services by attending implementation meetings, including but not limited to Billing Walk Through calls. - Manage customer escalations by intervening or sending escalations through the proper channels. - Act as a change ambassador for HEALTHCARE first, presenting a positive message to the team as changes occur. - Help promote a team environment at HEALTHCARE first. - Provide input into performance management of team members. - Manage customer results ensuring contracted services are performed timely and accurately. - Manage resources to ensure all timelines are achieved. Qualifications - Minimum of 2-4 years of industry experience. - Bachelor’s degree in business administration, healthcare management, healthcare administration, or equivalent applicable work experience. - Ability to conduct effective customer communication – verbal and written as required. - Ability to work independently. - Must be organized and able to multitask. - Strong written and verbal communication skills. - Ability to type, operate computers, and office equipment. - Aptitude for learning computer systems. - Maintain a professional demeanor, courteous and flexible at all times. - Prior experience working with Medicare rules, regulations, and billing requirements. - Willingness and ability to work effectively with members of other departments. - Uphold the standard of HEALTHCARE first customer service through leading by example. - Ability to multitask and prioritize. - Ability to lead difficult customer conversations. Benefits - Comprehensive medical, vision, dental, and life insurance. - AD&D, short-term and long-term disability insurance. - Sleep care management. - Health Savings Account (HSA). - Flexible Spending Account (FSA). - Commuter benefits. - 401(k). - Employee Stock Purchase Plan (ESPP). - Employee Assistance Program (EAP). - Tuition assistance. - Fifteen days Paid Time Off (PTO) in the first year of employment. - Eleven paid holidays plus three floating days. - Eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Revenue Cycle Coordinator is responsible for providing quality revenue cycle services to HEATHCARE first outsourced billing customers, with a focus of managing AR and customer relationships. This position must exercise accountability and professionalism in maintaining the high level of services our team and customers deserve. This role reports to the Supervisor of Operations Management. - Drive results for customers including A/R follow up, RAP and NOE submission, reporting, appeals, day-to-day operations and cash collections. - Provide subject matter expertise in the following areas: - Billing Processes - EDI Information (if applicable) - A/R Management - Learn all software of assigned accounts to assist with troubleshooting and training, as necessary. - Establish and maintain a collaborative relationship with assigned customers. - Identify and develop solution strategies to address operational issues and develop additional services. - Understand industry payer rules, regulations, billing codes and requirements. - Maintain confidentiality and knowledge of HIPAA regulations. - Support implementation services by attending implementation meetings, including Billing Walk Through calls. - Manage customer escalations by intervening or sending escalations through the proper channels. - Help promote a team environment at HEALTHCARE first. - Manage customer results ensuring contracted services are performed timely and accurately. - Utilize Sharefile for all documents between the agency and HEALTHCARE first. - Manage resources to ensure all timelines are achieved. - Perform other duties as assigned. Customer Service - Augment agency operations by building productive relationships with clients regarding their revenue cycle services. - Inform and advise customer(s) of any internal agency process opportunities that may be delaying cash flow. - If agency is non-responsive, escalate the concern to a HEALTHCARE first RCM Billing Services Operations Manager or Client Success Manager. - Communicate with an agency regarding the status of AR by setting up calls and sending updated status reporting. - Ensure timely and effective communication with a focus on urgent items requiring action by the agency. - Use agenda/meeting documentation indicating outcomes and follow-ups for each agency meeting. - Leverage multiple communication channels for timely and accurate updates. - If no response is received within the same business day, follow up with a phone call the next business day. - Address any communication from an agency within 24 hours; urgent matters should be addressed immediately. - Maintain a professional relationship with agency staff, minimizing personal and internal HEALTHCARE first details. - Escalate unresolved customer grievances to the proper department or management for further assessment. Qualifications - Open to dynamic change and ability to thrive in such an environment. - Ability to work independently with initiative to take on new tasks as necessary. - Organized with the ability to multitask. - Strong written and verbal communication skills. - Computer and office equipment proficiency with an aptitude for learning computer systems. - Advanced understanding of accounting principles with a focus on Accounts Receivables. - 2+ years of healthcare billing and A/R management experience; Homecare & Hospice a plus. - Prior experience with Medicare, Medicaid, and Private Insurance rules, regulations, and billing codes (preferred) for both Homecare and Hospice. - Education equivalent to a High school diploma or extensive experience; college degree preferred. - Maintain a professional demeanor, courteous and flexible always. - Willingness and ability to work effectively with members of other departments. - Participate in a collaborative environment where teammates support each other to achieve overall success within HEALTHCARE first. Benefits - Comprehensive medical, vision, dental, and life insurance. - AD&D, short-term and long-term disability insurance. - Sleep care management. - Health Savings Account (HSA) and Flexible Spending Account (FSA). - Commuter benefits. - 401(k) and Employee Stock Purchase Plan (ESPP). - Employee Assistance Program (EAP) and tuition assistance. - Accrual of fifteen days Paid Time Off (PTO) in the first year of employment. - 11 paid holidays plus 3 floating days. - Eligibility for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.