Revenue Integrity Coding Specialist Job at University of Maryland Medical System, Linthicum Heights, MD

R2NQb0dsV0VvYXAyaEpuTUc5YldqS0RhU3c9PQ==
  • University of Maryland Medical System
  • Linthicum Heights, MD

Job Description



The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit

Job Description



General Summary

Under general supervision this position will review and resolve National Correct Coding Initiative, Outpatient Claim Editor, and Medically Unlikely Edits related to facility charge capture and coding for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnosis coding and CPT-4 procedure coding classification systems. 

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

  • Knowledge of CPT, HCPCS, and revenue codes for accuracy and compliance with all state and federal guidelines.
  • Responsible for reviewing and resolving charge capture, coding, and revenue integrity check workqueues in Epic.
  • Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Communicates with various departments within the hospitals regarding billing and charge capture issues. Refers any problems to management timely, providing clear details.
  • Responsible for making independent decisions regarding charge adjustments and other charge resolution techniques.
  • Advises management of possible billing problems.
  • Complete all tasks in a timely manner with accurate documentation.

Qualifications



Education and Experience

  • Associates or Bachelor’s degree is preferred.
  • AAPC or AHIMA certification is required.
  • Two years minimum experience working hospital coding related edits.
  • EPIC EMR experience in preferred.

Knowledge, Skills and Abilities

  • Concern for quality and ability to identify errors and implement corrections.
  • Ability to interpret and implement regulatory standards.
  • Serves as a resource to others in the resolution of problems and issues.
  • Effective customer service skills, with the ability to work with all levels within the organization.
  • Excellent organization skills, demonstrates confidence and creativity.
  • Strong time management skills and keen attention to detail.
  • Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
  • Good interpersonal relationship skills.
  • Self-motivated, detail oriented, problem solver.
  • Knowledge and ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.
  • Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel, MS Word, and PowerPoint. MS Access, SAS, & Tableau is preferred. 
  • Ability to handle confidential issues with integrity and discretion.
  • Ability to prioritize and manage work in a stressful environment.

Additional Information



All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $27.44-$38.41

Other Compensation (if applicable):

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

Job Tags

Full time,

Similar Jobs

panda ABC

Short Video Actress Job at panda ABC

You can take a little time on this jobWe are hiring short video actress. You just need to record videos with your cell phone at home or anywhere with good lighting.Each video is as short as 1 minute only.The videos are all about Englis teaching, or learning. We will be ...

Fresenius Medical Care North America

Patient Care Technician - PCT Job at Fresenius Medical Care North America

 ...and prepping treatment room; prep charts+ Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)+ Clerical duties as assigned (faxing mailing to physician offices etc.)+ Obtain home... 

Waymo

Technical Program Manager, Foundation Models Job at Waymo

Waymo is an autonomous driving technology company with the mission to be the most trusted driver. Since its start as the Google Self-Driving Car Project in 2009, Waymo has focused on building the Waymo DriverThe World's Most Experienced Driverto improve access to mobility...

CAREMAX SENIOR SOLUTIONS

CareGivers | Home Care Aides | Personal Care | CNA's Job at CAREMAX SENIOR SOLUTIONS

 ...seeking compassionate and dedicated individuals to join our team as CNA's (Certified Nursing Assistants), caregivers, HHA's (Home Health...  .... 8. Valid driver's license and reliable transportation to travel to client locations as needed. 9. Availability to work... 

Columbia University

Research Assistant Job at Columbia University

 ...infections and neuroinflammatory conditions. Learn more about our research: Thakur Lab Responsibilities The candidate will report to...  ...retrospective and prospective clinical studies. The research assistant will work with a multidisciplinary team on studies. Additional...