Revenue Integrity Educator II - Revenue Cycle

Why UT Southwestern?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you'll discover teamwork, professionalism, and consistent opportunities for growth.

UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Revenue Integrity Educator II. The primary focus of this position will include but is not limited to the following:

• Initiative taking, Technology savvy.
• Epic Experience is strongly preferred.
• Certification for certified professional coder (CPC) required, CPMA preferred but not required.
• Educate providers regarding proper coding.
• Surgical coding experienced in one of these specialties strongly OB/GYN, Ortho, Neurosurgery/ Otolaryngology/ spine/ Urology/ Plastic
• Able to do provider audits on
• Different surgical specialty and communications with the Revenue Cycle teams / leaders.
• Experience developing educational material.
• Ability to communicate professionally with providers.

SHIFT: 8-hour flex shift, Monday through Friday

Work From Home (WFH): This is a WFH position. Must live within Texas. Preferred candidate lives in the DFW area. Cannot consider candidates who live out of state.

Quick tip(s):

• Please review the section entitled experience/education and focus on the job requirements.
• Make sure you include the experience listed under the requirements section on your application.

We are honored to be a veteran friendly work environment that is home to hundreds of veterans. We value your integrity, dedication, and the commitment you have made to our country. We are proud to support your next mission. Ranked by Forbes as one of the Top 10 National Employers, we invite you to be a part of the UT Southwestern Medical Center team where you will discover teamwork, professionalism, and consistent opportunities for growth. Shift: 8-hour days The preferred applicant must live in Texas, DFW area is preferred.

• High school diploma or equivalent
• And five (5) years of experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilities is required
• Certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or a Certified Medical Coder (CMC) is required.
• CPMA is desired.
• Associates degree or two years of college is desired.

• Serves as a professional billing integrity leader, under supervision of Sr. Professional Billing Integrity Educator or Supervisor, to develop and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and professional coding industry information; pre-bill professional charge review findings; University-identified risk areas, or special projects requested by MSRDP leadership. This may include medical record audits, invoice analysis, and review of internal reports (e.g., Charge Analyzer, Code Correct), denials, external audit findings, etc. Assists Sr. Professional Billing Integrity Educator or Supervisor with development and deployment of any action plans required.
• Conducts standardized new provider coding and compliance training (onboarding) for physicians, advanced practice providers and other professional practitioners, in two or more service lines/divisions. Training may be conducted in an individual or group setting.
• Performs post-onboarding pre-bill review of professional charges and follow-up with new providers to confirm understanding of procedure, modifier, and diagnosis code assignment, as well as documentation requirements to promote billing compliance. Supporting two or more service lines, with supervision by Sr. Professional Billing Integrity Educator or Supervisor.
• Conducts increasingly independent reviews on adequacy of medical record documentation, to support the procedure, modifier and diagnosis coding of evaluation and management (E&M) services and low-moderate complexity diagnostic/therapeutic services, billed by physicians, practitioners, or billing staff, in two or more service areas. Working with Sr. Professional Billing Integrity Educator or Supervisor, develops reports that summarize outcomes. Provides input on recommended corrective action plans.
• Research coding, documentation and reimbursement policy questions or problems submitted by physicians, practitioners, supported-departments, billing staff and others, to ensure compliance with specific payer and/or government regulations. Assist Senior Billing Integrity Educator and/or supervisor with responses. Escalates issues beyond their scope to Senior Billing Integrity Educator, Supervisor or Manager.
• In coordination with the Compliance Office, support and/or conduct Billing Compliance risk-based audits.
• Complete charge review and follow-up EPIC work queue assignments, within department timeliness standards, under guidance of the Senior Billing Integrity Educator or Supervisor. Assists with quality assurance reviews for internal or contractor staff to verify the coding or other work is consistent and supported by regulations, University guidelines and/or MSRDP Medicine Audit Plan.
• Assists with training for contractor staff on the use of audit software, EPIC, internal audit plan, work queue assignments, etc. as needed.
• Performs other duties as assigned.

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare - no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!