Job Description
Job Description New Hires are eligible for a Sign-On Bonus The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting. Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 – 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement. Note: We are offering a new hire Sign-on Bonus of $2,000. All external new hires who have not worked for a UC in the last 12 months are eligible. The bonus is payable after 30 days of continuous employment. Responsibilities New Hires are eligible for a Sign-On Bonus*** The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting. Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 – 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement. Note: We are offering a new hire Sign-on Bonus of $2,000. All external new hires who have not worked for a UC in the last 12 months are eligible. The bonus is payable after 30 days of continuous employment. Requirements QUALIFICATIONS Bachelor's degree in a related area and one or more years of coding experience/training. Must be a Certified Professional Coder in good standing with AAPC or AHIMA, and maintain yearly credits to ensure certification. Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or licensure equivalent. Must have experience working with CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as payor billing requirements. Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management. Working knowledge of reporting instruments, metrics, and/or dashboard design. Detail-oriented, with demonstrated organizational skills and the