Primary Location:

Work From Home - KY - ULP - AMG

Address:

Home Office Remote, KY 40601

Shift:

First Shift (United States of America)

Job Description Summary:

TBD

Job Description:

WE ARE HIRING!

Location: 100% Remote

About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

JOB SUMMARY

The team member performs highly technical and specialized functions for the Central Business Office.  The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments.  The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement.  The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

JOB RESPONSIBILITIES

Essential Functions:

• Coding (60% Weight)
  • Obtain copies of chart notes, reports, electronic medical records, and any other necessary records for purpose of review
  • Comply and communicate deficiencies that impact the billing process.
  • Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.
  • Abstract patient evaluation and management services, including consultations, and bedside procedures for the purpose of selection of the appropriate HCPCS code(s), ICD-9 code(s), and modifier(s)
  • Follow production and quality standards for coders as established.
• Compliance (20% Weight)
  • Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing
  • Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing
• Communication/Education (10% Weight)
  • Develop daily/weekly communication with providers.
  • Provide comments/suggestions relative to weak areas identified in the coding reviews.
  • Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.
  • Responds in a timely manner to questions from providers, department representatives.

• Maintain compliance with rules and regulations regarding coding.
• Constant reviews of incoming Fee Tickets to ensure compliance standards are met.
• Ability to work within a team environment and meet monthly goals.
• Other duties as assigned.

 

Coders will be audited on a quarterly basis by ULP Compliance/Audit Services Department with including discussion and feedback.

 

Trial Period (internal applicants only):

It is understood that current Employees must complete a trial period of 10 business days during which the established productivity level must be maintained in order to continue participation in this program. Failure to maintain the established productivity requirements may require Employee to return to the Heyburn campus as Employee’s primary work site.

Additional Job Description:

MINIMUM EDUCATION & EXPERIENCE