Professional Fee Coder - Analyst II (Sign-On Bonus eligible)

***New Hires are eligible for a Sign-On Bonus***

The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting.

Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 - 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education.

Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement.

Note: We are offering a new hire Sign-on Bonus of $2,000. All external new hires who have not worked for a UC in the last 12 months are eligible. The bonus is payable after 30 days of continuous employment.

**New Hires are eligible for a Sign-On Bonus***

The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting.

Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 - 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education.

Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement.

Note: We are offering a new hire Sign-on Bonus of $2,000. All external new hires who have not worked for a UC in the last 12 months are eligible. The bonus is payable after 30 days of continuous employment.

Requirements:
-High school diploma or GED and two (2) or more years of coding experience OR a Bachelor's degree in a related area and six years of equivalent experience/training.
-Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.

-Must have experience working with professional fee coding CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements.
-Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
-Working knowledge of reporting instruments, metrics, and/or dashboard design.
-Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
-Proficiency in common database, spreadsheet, and presentation software.
-Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
-Ability to summarize and present reports and presentations.
-Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
-Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
-Knowledge of medical terminology, anatomy, and physiology.

Please Note - Work Authorization Notice: We do not provide visa sponsorship or immigration support for this position. Applicants must already be authorized to work in the United States on a full-time, permanent basis without the need for current or future sponsorship.

Preferences:
-Prior working knowledge of the EPIC (Apex) system.
-Experience working directly with physicians, AHPs, and staff.
-Academic medical center experience.
-Advanced Coding Certification.

License/Certification Required:

Requirements:
-High school diploma or GED and two (2) or more years of coding experience OR a Bachelor's degree in a related area and six years of equivalent experience/training.
-Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.

-Must have experience working with professional fee coding CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements.
-Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
-Working knowledge of reporting instruments, metrics, and/or dashboard design.
-Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
-Proficiency in common database, spreadsheet, and presentation software.
-Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
-Ability to summarize and present reports and presentations.
-Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
-Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
-Knowledge of medical terminology, anatomy, and physiology.

Please Note - Work Authorization Notice: We do not provide visa sponsorship or immigration support for this position. Applicants must already be authorized to work in the United States on a full-time, permanent basis without the need for current or future sponsorship.

Preferences:
-Prior working knowledge of the EPIC (Apex) system.
-Experience working directly with physicians, AHPs, and staff.
-Academic medical center experience.
-Advanced Coding Certification.

License/Certification Required: