University of Iowa Research · 11 hours ago
Coding Representative - Professional Coding Division (PCD) - Patient Financial Services
Iowa City, Iowa, United States
Full-time
Hybrid
Entry Level
1+ years expUniversity of Iowa Health Care’s Professional Coding Division is seeking a Coding Representative to assign ICD-10-CM codes and CPT codes for outpatient and inpatient services. The role involves delivering high-quality customer service, maintaining compliance, and ensuring accurate coding to support the institution's reimbursement processes.
Research
Responsibilities
Review medical records to assign CPT/HCPCS and/or ICD-10-CM diagnosis and procedure codes in accordance with internal policies, coding guidelines, and regulation
Monitor compliance/coding standards and policies to ensure UI Health Care receives full and accurate reimbursement for services in compliance with all applicable rules and regulations, including HIPAA
Communicate with physicians/other qualified health care practitioners, residents, and other staff when additional information is needed for accurate code assignment, or to resolve situations where the recommended coded service is not supported in the documentation and/or not consistent with coding and regulatory guidelines
Meet departmental targets regarding volume and accuracy of codes assigned
Adopt and incorporate initiatives that improve compliance and reduce risks to the institution
Assist in providing and analyzing reports related to documentation issues, coding patterns, physician productivity, reimbursement trends, etc
Participate in internal coding and development training when needed
Qualification
Required
Knowledge of professional/physician coding rules. Experience with ICD-10-CM, CPT, HCPCS, National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting
Knowledge of medical terminology
Proficiency with standard office computer software applications (i.e., Microsoft Office Suite)
Excellent written and verbal communication skills
Detailed-oriented with excellent time management and prioritization abilities
Demonstrated ability to handle complex and ambiguous situations with minimal supervision
RHIT, RHIA, CPC, CPC-A, or equivalent certification through a nationally recognized credentialing body such as AHIMA or AAPC is required
Bachelor's degree or equivalent in education and/or experience
Preferred
At least one year of experience with medical coding and/or billing preferred
Knowledge of coding and billing requirements for services furnished in a teaching setting
Knowledge and experience with federal healthcare regulations, such as HIPAA and CMS requirements
Experience with Epic
AI in Healthcare related training
Knowledge of UI Health Care's Patient Financial Services' functions, systems, processes, and policies
Ability to work independently in a remote work environment, to organize/prioritize work, practice excellent communication skills, is attentive to detail, demonstrates follow through skills and maintains a positive attitude
Company
University of Iowa Research
The Office of the Vice President for Research is committed to forging new frontiers of discovery by providing resources and support to researchers and innovators at the University of Iowa, to promote a culture of creativity that enriches the campus, the state, and the world.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase