Insurance Billing and Coding Specialist jobs in United States
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University of California, Davis ยท 5 days ago

Insurance Billing and Coding Specialist

The University of California, Davis is seeking an Insurance Billing and Coding Specialist to perform coding of patient records for accurate billing and reimbursement. The role involves reviewing coding for patient visits, entering charges, and ensuring compliance with regulations.

Higher Education
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Culture & Values
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H1B Sponsor Likelynote

Responsibilities

60% - Review, Abstract and Code Outpatient Records To Ensure Data Quality and to Optimize Reimbursement
15% - Clinical Charge Entry
15% - Billing
5% - Technical, Liaison, And Educational Coordination
5% - Miscellaneous

Qualification

CCS CertificationCPC CertificationICD-10 KnowledgeCPT KnowledgeBilling ExperienceThird-party Payer KnowledgeAbstracting SkillsCommunication SkillsProblem Solving SkillsCritical Thinking Skills

Required

CCS, CCS-P, CPC, CPC-H Certification is mandatory
Passing of the initial Coding Assessment at 90% or above in all categories (CPT, Modifiers, Procedures, ICD-10, Pharmaceuticals, and APCs), and meeting the PRA Expectations for Coding Assessments thereafter
Successful completion of an AAPC accredited course
High school diploma or GED
At least two years of billing and coding experience
Knowledge of third-party payer reimbursement requirements
Ability to communicate technical and clinical billing information to physicians and clinical staff
Complete working knowledge of abstracting and coding, using ICD-10, CPT and HCPCS sufficient to identify diagnostic procedures, supplies and visit levels
Ability to follow ICD-10, CPT and HCPCS guidelines related to their use in assigning single, and sequencing multiple diagnosis and procedure codes for appropriate professional and technical reimbursement and data collection
Must be able to understand assignment of Evaluation and Management visit level utilizing Health Care Financing Administration guidelines
Ability to manage time schedules, deadlines, multiple requests, and priorities, and to maintain productivity

Preferred

Problem solving and decision-making skills to independently conduct research, define a problem, identify the resources available including relative data sources, perform quantitative analysis and develop thoughtful recommendations for procedural or system changes
Knowledge of health insurance plans and industry standards and ability to interpret insurance language
Skills and abilities to analyze and interpret payment reports, verify accuracy of payments, identify reasons for denial and pursue appeals
Ability and skills to address complaints/problems and critical thinking skills to identify potential resolutions

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California.
UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals.

Company

University of California, Davis

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UC Davis was founded in 1908 to serve the state of California. We do and we always will.

H1B Sponsorship

University of California, Davis has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (224)
2024 (182)
2023 (201)
2022 (157)
2021 (137)
2020 (130)

Funding

Current Stage
Late Stage

Leadership Team

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Sean Quinn
Chief Financial Officer (Athletics)
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Alyssa M. Rodriguez, PHR
Human Resources Generalist / Business Partner
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Company data provided by crunchbase