University of Miami · 1 day ago
Professional Coder 3 (H)
United States
Full-time
Remote
Senior Level
5+ years expThe University of Miami is a leading academic medical center providing patient care and education. They are seeking a Professional Coder 3 responsible for reviewing clinical documentation and validating codes assigned by physicians to ensure accurate medical claims processing for reimbursement.
Higher Education
Responsibilities
Identifies incomplete documentation and seeks clarification from the responsible physician
Verifies patient information to identify any documentation and/or report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient’s account/encounter
While reviewing the record for coding validation purposes, serves as quality reviewer of scanned documents
Identifies mis-scans: poorly scanned documents, and misplaced documentation; promptly reports findings to the Professional Coding Manager
Assesses documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for services provided to ensure the organization receives its entitled reimbursement for care provided
Collaborates with others in the organization including medical staff and other clinicians to ensure the record accurately documents the services provided and to identify documentation trends that can prospectively address deficiencies
When necessary, accurately assign and sequences ICD-10-CM diagnosis and/or CPT E&M and procedural codes to professional encounters
Adheres to University and unit-level policies and procedures and safeguards University assets
Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with university policies and procedures
Ensures employees are trained in controls within the function and on university policy and procedures
Achieves and maintains quality expectations of 95% accuracy for both coding and abstracting and productivity expectations for encounters
Reviews assigned coder workqueue and follows standard process of opening the charge session, reviewing edits, clearing edits by checking documentation associated in the chart for those identified services, and reviews the notes (i.e., documentation for that date of service)
Demonstrate knowledge of modifiers and application of appropriate modifier if needed (i.e.,24,25,57)
If there is missing documentation, follow Deficiency standard operating procedure
Validate charge session and assign date/name confirming ownership of charge review
Ensures all encounters are coded/validated within 5 days of service date (or other benchmark set by Department) by collaborating with physicians and mid-level staff
Meets coding validation/charge entry productivity expectations established by the department
Routinely volunteer to assist others when his/her work is completed
Converts the documented clinical information into applicable diagnostic and procedure codes
Codes and abstracts medical records to provide information for financial reimbursement, meaningful use, state and federal registries, and strategic planning data collection purposes
Educates physicians and other clinicians on documentation issues and coding idiosyncrasies
Qualification
Required
High school diploma and an equivalent of 5 years of professional coding experience
Minimum 5 years of relevant experience
Certified Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Office (CCS-P) or Registered Health Information Technician (RHIT)
Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA)
Supports the philosophy, objectives, and goals of UHealth and the Health Information Management department by volunteering in various capacities without compromising performance expectations
Demonstrates knowledge of and compliance with the UHealth Compliance Program, Policies and Procedures, and Safety Policies and Procedures
Abides by standards of the American Health Information Management Association's professional and ethical conduct
Contributes to the efficiency of the UHealth Health Information Management
Remains current with continuing education requirements to maintain credentials
Demonstrates ability to work independently and/or in a collaborative environment
Displays efficient and effective communication skills (interpersonal, verbal, and written)
Demonstrate critical thinking, organizational, and analytical skills, as well as the ability to interpret, assess, and evaluate provider documentation
Proficient with Microsoft Office applications
Ability to sit for extended periods of time
Capable of working in a 100% remote environment with minimal supervision, while also staying focused on assigned tasks
Benefits
Medical
Dental
Tuition remission
And more
Company
University of Miami
At UM you'll join a diverse and energized academic community.
5001-10000 employees
H1B Sponsorship
University of Miami 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 (208)
2024 (151)
2023 (149)
2022 (121)
2021 (95)
2020 (114)
Funding
Current Stage
Late StageLeadership Team
Albertie Regalado
'Canes Science Bowl — Co-Founder and Co-President
Mark McPheron, FALU, CLU, FLMI
Co-Founder and Past President, and current member, University of Miami Cincinnati 'Canes Community
Recent News
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2023-11-22
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