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University of Iowa logo
University of Iowa

Located on a tree-lined campus on the Iowa River in Iowa City, Iowa, the University of Iowa is the state’s oldest institution of higher education and one of t

Coding Representative - Professional Coding Division

Location

United States

Posted

62 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coding Representative - Professional Coding Division

University of Iowa

Role Description University of Iowa Health Care’s department of Professional Coding Division is seeking a Coding Representative for Ophthalmology to assign ICD‑10‑CM diagnosis codes and CPT procedure codes for services including comprehensive coding of eye‑related professional services, professional outpatient encounters, and professional services provided during hospital inpatient stays. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Teams) from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. Position Responsibilities: - Review medical records to assign CPT/HCPCS and/or ICD-10-CM diagnosis and procedure codes in accordance with internal policies, coding guidelines, and regulations. - Monitor compliance/coding standards and policies to ensure UI Health Care receives full and accurate reimbursement for services in compliance with all applicable rules and regulations, including HIPAA. - Communicate with physicians/other qualified health care practitioners, residents, and other staff when additional information is needed for accurate code assignment, or to resolve situations where the recommended coded service is not supported in the documentation and/or not consistent with coding and regulatory guidelines. - Meet departmental targets regarding volume and accuracy of codes assigned. - Adopt and incorporate initiatives that improve compliance and reduce risks to the institution. - Assist in providing and analyzing reports related to documentation issues, coding patterns, physician productivity, reimbursement trends, etc. - Participate in internal coding and development training when needed. Qualifications - Bachelor's degree or equivalent in education and/or experience. - Knowledge of professional/physician coding rules. - Experience with ICD-10-CM, CPT, HCPCS, National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting. - Knowledge of medical terminology. - Proficiency with standard office computer software applications (i.e., Microsoft Office Suite). - Excellent written and verbal communication skills. - Detailed-oriented with excellent time management and prioritization abilities. - Demonstrated ability to handle complex and ambiguous situations with minimal supervision. Requirements - Certifications: RHIT, RHIA, CPC, CPC-A, or equivalent certification through a nationally recognized credentialing body such as AHIMA or AAPC is required. Desirable Qualifications - At least one year of experience with medical coding and/or billing preferred. - Knowledge of coding and billing requirements for services furnished in a teaching setting. - Knowledge and experience with federal healthcare regulations, such as HIPAA and CMS requirements. - Experience with Epic. - AI in Healthcare related training. - Knowledge of UI Health Care’s Patient Financial Services’ functions, systems, processes, and policies. - Ability to work independently in a remote work environment, to organize/prioritize work, practice excellent communication skills, is attentive to detail, demonstrates follow through skills and maintains a positive attitude. Application Process In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission: - Resume - (optional) Cover Letter Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. Successful candidates will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location. For additional questions, please contact Veronica Clark at veronica-clark@uiowa.edu.

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