Outpatient/Provider Coder II

About the Role

This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing. The role uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position is not responsible for providing care to patients.

University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. We seek staff committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality, and trust.

The University of Utah is a Level 1 Trauma Center nationally ranked for academic research, quality standards, and overall patient experience. Our five hospitals and eleven clinics provide excellence in comprehensive services, medical advancement, and patient outcomes.

Responsibilities

• Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel.
• Reviews, abstracts, and codes multiple/sub-specialty services and assigns appropriate coding classification.
• Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing-related issues.
• Researches and resolves high-volume accounts and complex, suspended claims.
• Interprets and applies basic regulatory guidelines to coding and reimbursement decisions.
• Assures adherence to department quality and productivity standards.
• Assists with other department coding needs as requested.
• Serves as a mentor and assists in the training of Level I Coders.

Requirements

• An American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department.
• Three years of coding experience may substitute for certification, but incumbents must obtain an AHIMA or AAPC certification within six months of hire.
• Two years of coding, clinical, or billing experience.

Skills

• Demonstrated potential to perform the essential functions of the role.
• Strong human relations and effective communication skills.
• Knowledge of clinical documentation requirements related to regulatory and reimbursement rules, and health insurance processing.
• Proficiency in computer software (e.g., Microsoft Word and Excel).
• Ability to maintain certifications through continuing education credits.
• Ability to train others.

Preferred Qualifications

• Experience in organizing and conducting coding or billing education.

Working Conditions

• This is a sedentary position that may exert up to 10 pounds and may involve lifting, carrying, pushing, pulling, or otherwise moving objects.
• Involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

• Listening
• Sitting
• Speaking