Clinical Coder III

High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.

Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

The Opportunity

The Student Health Care Center (SHCC) at the University of Florida is seeking a Clinical Coder III. Reporting to the Coding and Reimbursement Supervisor, this position serves as a senior member of the SHCC Coding team and is responsible for optimizing billing performance through accurate, compliant, and efficient coding practices.  The Clinical Coder III will educate providers on appropriate coding requirements, resolve claim rejections, and apply a thorough knowledge of anatomy, medical terminology, payer coding and billing requirements, and UF College of Medicine and UF Health policies and procedures. This position will also collaborate with the SHCC Quality Officer and Compliance Office on auditing requirements and participate in continuing education to remain current on compliant coding methods that support accurate coding and maximum reimbursement.

The key responsibilities of the position include the following:

CHARGE ENTRY/REVIEW

Review clinic charges in EMR work queues daily, ensuring CPT and ICD-10 for accuracy and resolving all claim edits.  Review chart notes to optimize E/M level, procedures and apply payer policy for bundling.  Follow up on incomplete/missing charges. Meet with the Supervisor and/or Assistant Director to review individual provider performance and coding issues.

CHART REVIEW

Perform clinic chart reviews to provide results to the clinical team supervisors and provide feedback to the clinical team on documentation improvement.  Collaborate with coders and billing staff on coding updates, reimbursement and compliance improvement strategies.  Act as a point of contact for coding questions and guidance.

EDUCATION AND CODING COMPLIANCE

Research coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.  Keep abreast of annual coding updates.  Provides education to providers in regards to documentation, reimbursement and compliance. Provides feedback to providers regarding billing and coding questions and works with providers to resolve these questions to ensure accurate coding. 

CLAIMS & REIMBURSEMENT MANAGEMENT

Reviews clinic reimbursement reports and track payments/denials and resolve issues delaying reimbursement.  Utilize charge entry edits and payor denials as tools to provide additional education and suggest front-end workflow strategies to ensure clean claims. 

 Typical Schedule:

• 8 am to 5 pm daily (Monday through Friday) and one-hour lunch during Fall and Spring semesters.
• 8 am to 4:30 pm daily (Monday through Friday) with a one-half hour lunch during Summer semesters.
• Remote work may be available.

About the Student Health Care Center (SHCC)

The mission of the SHCC is to help every student achieve optimal health in pursuing personal and academic success.

Our vision is to be the preferred healthcare provider for University of Florida students as a nationally recognized leader in the collegiate health specialty.

The SHCC is fully accredited by the AAAHC and is located in a state-of-the-art WELL-certified building on UF’s campus. Medical services offered at the SHCC include primary care, sports medicine, urgent care, gynecology, psychiatry, allergy/immunization clinic, and travel medicine.  Radiology, pharmacy, lab, and physical therapy are also on site.

Learn more about SHCC here https://shcc.ufl.edu/

About the University of Florida

UF is one of the nation’s top universities and a dynamic and rewarding place to work. UF is in Gainesville, one of Florida’s most livable cities. Known for its natural attractions (wetlands, forests, springs, wildlife) and cultural offerings (music, theater, visual arts, and historic districts), the area also is gaining a reputation as a thriving hub for high-tech start-ups, as well as invention and research collaborations. We are excited about what’s happening here and know you will want to be a part of it.

The City of Gainesville

The Guide to Greater Gainesville shares all that you need to learn about the Heart of Florida, including neighborhood and city information, schools and zoning, culture and leisure, sports and fitness, healthcare and much more. Learn more at https://guidetogreatergainesville.com/

$28.74 - $31.13 per hour

Exclusive Perks and Benefits

Enjoy stability and support with UF’s unique range of benefits and opportunities. With a robust healthcare package, generous leave policies, retirement planning, and professional development, you can achieve a healthy work-life balance, plan for your future, and advance your career.

Full-time TEAMS employees will accrue vacation leave at a rate of 6.769 hours biweekly/22 days annually and sick leave at a rate of 4 hours biweekly/13 days annually. In addition, employees are eligible for ten paid holidays each year.

High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.

Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

EXPERIENCE:

• Experience with computer programs for word processing and various computer software applications
• Experience with computer-generated appointment systems and EHR

KNOWLEDGE:

• Understanding of insurance plans, terms
• Ability to interpret Explanation of Benefits
• EPIC system knowledge and experience
• Knowledge of CPT, HCPCS, and ICD-10
• Working knowledge of WayStar and Availity                                                                                            

SKILLS:

• Organizational
• Verbal and written communication 
• Math
• Customer service-oriented

 ABILITIES:

• Concentration
• Ability to work independently
• Ability to organize and maintain patient records
• Ability to plan, organize, and coordinate work assignments
• Ability to communicate effectively, both verbally and in writing
• Ability to evaluate problems and implement solutions
• Ability to compile and analyze data for administrative decisions
• Work independently using good judgment in establishing and maintaining office procedures and routines.

OTHER QUALIFICATIONS:

• Ability to work independently
• Ability to organize and maintain patient records
• Ability to plan, organize, and coordinate work assignments
• Ability to communicate effectively, both verbally and in writing
• Ability to evaluate problems and implement solutions
• Ability to compile and analyze data for administrative decisions

In order to be considered, you must upload your cover letter, resume, and a list of at least 3 references.

Applications must be submitted by 11:55 p.m. (ET) of the posting end date.

Remote work may be available.