Title: Medical Coding Specialist Certified (Dual Posted with Job ID 59697) Location: Columbia United States Job Description: Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 59697 -MCS and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards and guidelines regarding clinical documentation requirements, procedure and diagnosis coding. Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc. Remote working options available Shift Monday – Friday Minimum Qualifications One of the following certifications: -- Certified Coding Associate (CCA) -- Certified Coding Specialist (CCS) -- Registered Health Information Technician (RHIT) -- Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA); or -- Certified Professional Coder (CPC/CPC-A) -- Certified Outpatient Coder (COC/COC-A) -- Certified Inpatient Coder (CIC/CIC-A) by the American Academy of Professional Coders (AAPC); or Specialty certification per the department needs such as: -- Radiation Oncology Certified Coder (ROCC) by the American Medical Accounting and Consulting Inc (AMAC) Anticipated Hiring Range Salary Range: $23.66 - $37.36 hourly Grade: PAT - 7A University Title: MED CODING SPCLST-CERTIF, UP Internal applicants can determine their university title by accessing the Talent Profile tile in myHR. Benefit Eligibility This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits. Equal Employment Opportunity The University of Missouri is an Equal Opportunity Employer.

Role Description Thoroughly reviews outpatient medical records (Emergency Department-ED; ambulatory surgery, etc.) to specifically and accurately code diagnoses and procedures based on patient’s plan of care and treatment, and to also identify allowable ED/Other Outpatient charges when applicable. Verifies that records consistently contain appropriate documentation to justify coding and charge assignments. Qualifications - Health Information Technology degree or similar degree or work related coding experience, including college level medical terminology and Anatomy and Physiology required. - CCS preferred - Experience with E/M assignment or drug administration coding preferred - Must achieve minimum score of 85% on competency sampling - Working knowledge of CPT coding, modifier guidelines, medical procedures. - Knowledge of DNV, Joint Commission and other regulatory agency chart documentation requirements - Ability to work independently and to function as an integral team member within the department - Understanding of prospective payment system and coding guidelines - Must be able to work unsupervised and be self motivated - Computer skills including data entry speed of 45 wpm and experience in Windows environment - Ability to perform under pressure with ongoing deadlines and production/accuracy standards - Use of computerized encoder - Ability to manage competing demands - Ability to remain productively focused and non-distracted in a remote work setting. Working Conditions - Primary in-home office setting, independent work environment

Title: YM Compliance Educator Location: New Haven United States Job Description: Department:Clinical Affairs - YMA Compliance Job ID:135421WD $82,000.00 - $131,500.00 Description Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Overview The YM Compliance Educator will manage the development and completion of compliance education related to identified risks related to internal and external auditing activities. Education will also focus on federal, state and other payer changes in coding, documentation and billing requirements. They will work to increase and strengthen Yale Medicine providers' awareness and understanding of medical record documentation guidelines and coding principles. The Role serves as a role model for ethical management behavior and promotes an awareness and understanding of the Yale Medicine Compliance Program. They will assist in assessing risk and developing an auditing plan to support the overall compliance plan. Required Skills and Abilities 1. Thorough understanding of anatomy, medical terminology, and coding with demonstrated experience in provider coding (CPT and ICD-9/ICD-10) and licensure as a Certified Professional Coder (CPC). 2. Extensive knowledge of healthcare management in terms of financial and billing concepts, particularly Medicare billing guidelines. 3. Knowledge of health care reimbursement and managed care issues. 4. Proficiency in Microsoft Word and Excel; preferred experience with EPIC, MD Audit, and ComplyTrack software. 5. Demonstrated ability to develop and conduct comprehensive training programs. Preferred Skills and Abilities 1. Certified in Healthcare Compliance (CHC) and a Registered Nurse (RN) preferred. 2. Proven experience in training and education in a healthcare compliance context. Principal Responsibilities 1. Manages and monitors technology needs, conducts inventory, and system requirements for the assigned departments. 2. Manages and coordinates training sessions for assigned departments when new policies or practices are adopted. 3. Ensures compliance with University and federal regulations as they apply to the assigned departments. 4. Identifies and assists with the development of administrative policies for the assigned departments. 5. May perform other duties as assigned. Required Education and Experience Bachelor’s Degree in related field and 5 years of experience or an equivalent combination of education and related experience. Required License(s) or Certification(s) LICENSURE CPC is required. Job Category Professional Bargaining Unit NON Compensation Grade Administration & Operations Compensation Grade Profile Senior Manager; Senior Program Leader (25) Salary Range $82,000.00 - $131,500.00 Time Type Full time Duration Type Staff Work Model Remote Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

Title: Medical Coding and Billing Assistant 1 Location: New Haven United States Job Description: Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities - General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. - Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). - Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. - Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. - Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Previous Epic experience; experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities - Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician's selection. 4. Adheres to YMA policies and procedures and Yale Medicine's Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Job Category Administrative Support Bargaining Unit L34 Compensation Grade Labor Grade D Compensation Grade Profile Hourly Range $31.83 Time Type Full time Duration Type Staff Work Model Remote Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.