Billing Analyst and Educator - Family Medicine Primary Location - McKim Hall
Job ID: R0035512 | Medical Coding | Full Time | Charlottesville, VA
The incumbent is responsible for monitoring, communicating and training physicians and clinic staff on all coding and billing policies and procedures established in the clinical department. The Analyst is the liaison to the clinical staff for all billing related issues that include charge capture, CPT-4/ICD-10 coding and third party billing guidelines. Positions may vary in assignments depending on proficiency of specialties and departmental needs.Reviews medical documentation on a prospective (prior to billing) and regular basis to determine if documentation supports the service being billed in accordance with coding and compliance guidelines and the appropriate third party regulations and /or standards.
  • Prepares written reports of review results and presents the results to management and physicians.
  • Meets with physicians on a regular basis to review coding and billing performance and offers support to resolve any coding and billing questions.
  • Conducts physician training sessions to support effective billing of physician services, including annual training for all new fellow/residents.
  • Performs periodic reviews of outpatient billing and consult service.
  • Analyses and resolves any documentation issues as necessary.
  • Oversees the implementation of semi-annual front desk office staff training.
  • Monitors billing procedures to ensure timely and accurate charge capture and submission, appropriate payment posting and other related billing procedures are performed.
  • Serves as a liaison between all UVA Health System entities in an effort to facilitate reimbursement issues (i.e. Registration, Hosp/Physician billing, Coding).
  • Identifies, analyzes and resolves front-end system issues within the department.
  • Monitors and analyzes charge rejects/denials from the Health Services Foundation and insurance carriers. Identifies trends and problem areas and recommends corrective action in billing policies and procedures to address deficiencies.
  • Maintains charge capture documents to ensure appropriate utilization of up-to-date procedure and diagnosis codes.
  • Monitors and analyzes management information reports to identify variances in physician billing productivity and reimbursement performance. Recommends corrective action to address deficiencies.
  • Assists Business/Billing ManagerDepartment Administrator and CCB Manager with the implementation of new policies and procedures to enhance the efficiency and accuracy of the capture, coding, submission and reimbursement of all physician charges to the Health Services Foundation.
  • Provides lead expertise to other billing staff related to coding, billing and reimbursement policies and procedures.
  • Assigns appropriate ICD-10 diagnosis codes. Determines which CPT-4 codes can be charged, according to generally accepted coding guidelines.
  • Assists keying charges to appropriate management system.
  • Conducts regular A/R and collections analyses, including audits on particular departments and payors.
  • Oversees charge capture process by resolving daily operation questions and problems that arise in the supervisor's absence.
  • Assists and supports supervisor with staff training, system and procedure implementation and completes other assignments as required.
  • Maintains work queues for charge edits, charge deletions and billing manager review.

 

MINIMUM REQUIREMENTS

  • Education: High school diploma or GED, college courses in business-related field.
  • Experience: Five years of experience in coding/billing position.
  • Licensure: Must be CPC Certified by AAPC or CCS-P through AHIMA to qualify for all functional areas.
  • Skills: Intermediate knowledge of and experience utilizing a personal computer. Intermediate word processing, spreadsheet and database software skills required. Must demonstrate the ability to both prepare and analyze data as determined by management. Demonstrated ability to implement and execute multi-task assignments independently.


PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings and programs.


COVID Vaccination Requirement and Guidelines

Please visit the UVA COVID-19 Job Requirements and Guidelines webpage prior to applying for current information regarding vaccination requirements and guidelines for employment at UVA.

Tina Rosson
Tina Rosson
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Charlottesville, VA
Charlottesville, VA 22903
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Tina Rosson
Tina Rosson
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