Coding Representative; Remote Eligible

University of Iowa Health Care is recognized as one of the best hospitals in the United States and is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is:
Changing Medicine. Changing Lives.

• Classification
  
  Title:
  
  Coding Representative
• Department:
  Health Information Management
• University Pay Grade: 2B ((Use the "Apply for this Job" box below).)
• Annual Salary: $45,000 to Commensurate
• Percent of Time: 100% (40 hours per week)
• Staff Type:
  Professional & Scientific
• Work Schedule:
  
  Days and hours negotiable, 40 hours per week
• Location:
  
  Hospital Support Services Building (HSSB), 3281 Ridgeway Drive, Coralville, IA 52241

• /benefits
• Regular salaried position located in Coralville, Iowa
• Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans.

• Review medical record documentation to assign accurate and complete ICD-10-CM diagnosis and CPT/HCPCS procedure codes, as well as Evaluation and Management (E/M) codes for facility and physician services related to the Emergency Department, in accordance with ICD-10 Official Coding Guidelines, regulatory guidelines, and coding compliance policies.
• Adopt and incorporate initiatives that improve compliance and reduce risks to the institution.

Remote work is eligible for this position. Training will be held either on-site or virtually from the Hospital Support Services building at a length determined by the supervisor. Remote eligibility will be evaluated upon satisfactory training. Per policy, work arrangements will be reviewed annually and must comply with the remote work program, related policies and employee travel policy when working at a remote location.

Review medical record documentation to assign correct diagnoses and CPT procedure codes. Determine if billed data complies with documentation and regulatory requirements. Adopt and incorporate initiatives that improve compliance and reduce risks to the institution.

Monitor compliance standards and policies to ensure UI Health Care receives full and accurate reimbursement for services in compliance with payor rules and regulations. Contribute to new tools and processes that address underlying causes of incorrect payment. Review HB (hospital billing) and PB (physician billing) charge review work queues for accounts with edits. Identify potential process improvements including denial management.

Prepare work list reports and other reports as directed.

Communicate with co-workers, supervisors and departments to resolve issues. May assist with or provide training to providers regarding documentation requirements. Communicate with healthcare providers to resolve documentation issues, including incomplete or unsigned documentation, or when additional information is needed to ensure complete and accurate code assignment. Participate in internal coding and developmental training.

Completion of a degree program in Health Information Management from AHIMA or medical coding certification program from AAPC and/or an equivalent combination of education and experience is required.

Requires Health Information Management certification such as RHIA or RHIT or coding certification (CCS, CCA or CPC, etc.) through a nationally recognized credentialing body (AHIMA or AAPC). Must receive full certification within six months of hire.

• Knowledge of hospital outpatient ICD-10-CM and CPT medical coding
• Knowledge of Evaluation and Management (E&M) coding for physician billing
• Knowledge of medical terminology
• Knowledge of anatomy and physiology
• Must be proficient in computer software…