Coding & Billing Analyst 1 - Pediatrics
Job ID: R0038032 | Medical Coding | Full Time | Charlottesville, VA
The incumbent is responsible for developing and maintaining policies and procedures to ensure the timely, accurate, and comprehensive charge capture and billing of all physician services in the respective clinical department. The incumbent monitors billing and collections performance and recommends corrective action to address deficiencies in a manner that optimizes reimbursement. Positions may vary in assignments depending on proficiency of specialties and departmental needs.
  • Develops and maintains policies and procedures to enhance the efficiency of the capture, coding, and submission of all physician charges.
  • Reviews and recommends changes to charge capture documents to ensure appropriate utilization of up-to-date procedure and diagnosis codes.
  • Reviews and recommends department's support files in the billing system related to the addition/deletion of divisions, physicians, procedure codes, and fees.
  • Reviews and analyzes fee levels for physician services on a periodic basis, and recommends changes to manager.
  • Monitors and analyzes management information reports to identify variances in billing productivity and reimbursement performance. Recommends corrective action to address deficiencies.
  • Meets with staff on a regular basis to review clinical billing and collections performance and to discuss third-party payor reimbursement issues.
  • Develops and conducts new training to support effective billing of physician services.
  • Acts as liaison between the clinical department, the Health Services Foundation, and UVA Hospital on issues.
  • Assists with the capture, coding, and submission of charges to the billing system, including resolution of carrier rejects/denials.
  • Acts as coding/billing and reimbursement resource and disseminates information on new insurance/billing procedures to rest of staff.
  • Provides assistance with other patient billing responsibilities, including resolving patient requests, providing price quotes, attending billing and reimbursement meetings.
  • Performs other duties as requested by Supervisor.

  • Education: High school diploma or GED.
  • Experience: 3 years of coding experience.
  • Licensure: Professional coding certification. Must be certified AAPC or CCS-P through AHIMA to qualify for all functional areas.
  • Skills: Basic knowledge of and experience utilizing a personal computer. Basic word processing, spreadsheet, and database software skills required. Must have experience creating spreadsheets, reports, and trends data. Must demonstrate the ability to both prepare and analyze data as determined by management. Demonstrated ability to implement and execute multitask assignments independently. Demonstrated ability to serve as a preceptor for special projects.

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.

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Tina Rosson
Tina Rosson
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Medical Center (Charlottesville, VA)
Charlottesville, VA 22903
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Tina Rosson
Tina Rosson
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Since 1979, UPG has been the clinical partnership group managing, growing and providing direct patient care for all UVA entities. This strategic partnership allows UVA to expand on education, technology, diagnostics, resources and facilities while the teams at UPG can focus on managing and delivering high-quality, multi-specialty care.

The expansive network of UPG providers and clinical support teams work together to deliver world-renowned care to patients at UVA Medical Center in Charlottesville and in 24 primary and specialty care clinics located throughout central and northern Virginia.

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