Senior Certified Medical Coder Analyst
Job ID: R0030387 | Health Services Administrative | Full Time | Charlottesville, VA
The Department of Orthopaedic Surgery, University of Virginia School of Medicine, seeks a Senior Certified Medical Coder Analyst to join its coding team. The successful candidate will be part of a team responsible for coding and billing for 30 physicians, 16 physician assistants, and its Prosthetics & Orthotics division. The position is responsible for reviewing medical documentation to code ICD-10, HCPCS and CPT codes along with modifiers; submitting accurate and timely charges through the billing system; responding to queries from patients, carriers, University Physicians Group, and the UVA Medical Center; analyzing reports to improve processes; and training providers in billing documentation compliance. A high school diploma or equivalent and five or more years of experience in performing medical coding and billing are required, with experience in an academic health system preferred. In-depth knowledge of ICD-10 and CPT coding, with knowledge of third-party payor reimbursement policies is required. Applicants must be detail-oriented with good organizational skills, able to manage multiple tasks in a busy environment, effectively communicate and work with physicians, staff and patients, and work with and maintain confidentiality of patient and patient account data. Applicants must be a certified procedural coder (CPC) through AAPC or CCS-P through AHIMA, be willing to maintain professional certification, and keep current with changes in procedure and diagnoses coding and third-party payor reimbursement policies through continuing education.
  • Lead and train junior professionals, ensuring compliance and researching accounts.
  • Identify physician services provided, but not adequately documented in the medical record. Advise supervisor and clinicians of deficiencies to supprt charge capture of all billing services.
  • Analyze and resolve physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
  • Assist with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
  • Compile monthy reports as requested.
  • Identify trends and problems in medical documentation and department request issue and recommend possible solutions.
  • In addition to the above job responsibilities, other duties may be assigned.

 

 

Minimum Requirements

Education: High School Diploma
Experience:

  • At least five years of experience in medical billing/coding.
  • Experience creating spreadsheets, reports, and trends in data is typical.

Licensure: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

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

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.

 


Charlottesville, VA
Charlottesville, VA 22903

Working here.

Careers at the University of Virginia reflect a wide breadth of professions, ranging from teaching to administration, IT professionals to financial analysis, research to grounds management, and talent recruiting to facilities management, among many others. Every person here — faculty, staff, student, healthcare professional — helps to advance our world-class institution, encompassing a larger mission of discovery and service.

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.