Coding and Billing Specialist, Advanced
Job ID: R0020726 | Medical Coding | Full time | Charlottesville, VA
The incumbent is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes.

  • Reviews medical record documentation to identify all services provided by physicians.
  • Assigns appropriate CPT-4 procedure code(s) to accurately report the physician services provided to patients
  • Assigns appropriate ICD-10 diagnosis code(s) to accurately support the need for each physician service.
  • Assists with the submission of billing data to the University of Virginia Physicians Group.
  • Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
  • Identifies physician services provided, but not adequately documented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
  • Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
  • May assist with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
  • May compile monthly reports as requested
  • May identify trends/problems in medical documentation and department request issue and recommends possible solutions
  • Other duties as assigned by supervisor.

REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):

Education:

  • High School Diploma or GED

Experience:

  • Three years coding experience; or Professional Coding Certification with one year coding experience.
  • Incumbent must have knowledge of all billing through 6-month training plus demonstrated knowledge of the respective specialty (surgery; neurosurgery, etc.) area.
  • Incumbent must have successfully completed the following classes: Medical Terminology.
  • Must successfully complete internal proficiency exam through in-house training..
  • Incumbent should have a working knowledge of CPT-4 and ICD-10 coding and modifier use.
  • Knowledge and/or experience in a health care setting a plus.
  • In-depth knowledge of third-party payer reimbursement policies and procedures a plus.

Knowledge and skills:

  • Familiarity of personal computer operations.
  • Basic knowledge of word processing and spreadsheet software required.
  • Must have experience creating spreadsheets, reports, and trends data.
  • Demonstrated knowledge and expertise in the use of the reporting system to prepare reports as requested a plus.


COVID Vaccination Requirement

Due to the scope of President Biden's Executive Order 14042 issued in early September, all University employees, including remote employees, must receive their final vaccination dose by January 4, 2022, unless they have a University-approved religious or medical exemption. The University has updated policy SEC-045 to reflect these new requirements.

If hired by the Academic Division, excluding School of Medicine, School of Nursing, UVA Physicians Group, and the Health Systems Library, you will be required to provide proof of vaccination or be willing to be vaccinated by January 4, 2022. Academic employees may apply for a University-approved medical or religious exemption.

Note: Some medical and safety-sensitive positions require vaccination and are not eligible for an exemption. For more information on how vaccination requirements will apply to you, please visit the UVA New Hire Vaccination Requirements webpage.

Tina Rosson
Tina Rosson
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Charlottesville, VA
Charlottesville, VA 22908
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Tina Rosson
Tina Rosson
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Working here.

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.

Quality of Life

Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.