The Department of Medicine, Administration is seeking a full time Clinical Coder II. This position is responsible for coding and billing of professional medical fees for all practitioners in the Department of Medicine. This involves extracting billable services from the patient charts and applying appropriate CPT and ICD-10 codes and then entering these services in the EPIC billing system for submission. This position works closely with faculty, extenders, fellows and residents to ensure compliance with federal and state regulations and provide education on correct coding and proper documentation to maximize reimbursement. This is a remote position upon completion of a successful on-site training/probationary period.
Reviews all practitioners note types documented in EPIC for abstraction of billable services for all patients (inpatients and observation) for the Department of Medicine.
Applies appropriate CPT and ICD-10 codes and confirms adequate teaching physician documentation such as attestations and time-based statements and ensures that signature requirements are met.
Responsible for charge data entry into EPIC while ensuring clean claim submission to include working any edits that charge review may generate. Responsible for maintaining charge lag in assigned workqueue(s). Resolves all denials in a timely manner by responding to University of Florida Physicians (UFP) information requests.
Provides feedback to practitioners regarding documentation issues that can impact reimbursement or do not meet compliance requirements.
Creates and maintains coding/documentation training materials and participates in providing guidance and education to practitioners individually or in groups in regards to documentation, reimbursement, and compliance.
Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, college/department policy, and coding networks.
Informs supervisor, divisional administrator, and faculty of important changes in coding and reimbursement.
Assists supervisor and divisional administrator in researching reimbursement and billing issues and assists in designing and implementing billing procedures.
Attends continuing education courses, seminars, conferences, and meetings in order to increase knowledge and maintain coding credential.
Miscellaneous Duties
1. Prioritizes work assignments based on urgency and deadlines.
2. Works cooperatively with Departmental and Divisional billing staff to resolve backlog and provide back-up coverage of billing functions for vacations and illnesses of other billing staff members.
3. Serves as a liaison to multiple internal and external entities including, but not limited to:
• Department of Medicine
• Other Divisions within the Department of Medicine
• University of Florida Physicians (UFP)
• Compliance Office
• Referring physicians, patients, and patients’ families
4. Constantly strives to represent the Division, Department, and University in a positive, courteous, and professional manner.
5. Other duties as assigned.