Billing Analyst and Educator - Family Medicine Primary Location - McKim Hall
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 includes 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 present 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 question.

  • Conducts physician training sessions to support effective billing of physician services, including annual training for all new fellow/residents.

  • Perform 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 to ensure other related billing procedures are performed.

  • Serve 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 recommend 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 as required 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.

The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.

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Tina Rosson
Tina Rosson
Recruiter
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About University of Virginia Physicians Group (UPG)

Since 1979, UPG has been operating independently in support of UVA Health and UVA School of Medicine. We are an administratively supported group practice that operates as a collaborative UVA Health entity committed to supporting UVA Health physicians and providers at UVA Medical Center while improving the lives of patients with outstanding healthcare in a growing number of Clinical Practice Group (CPG) locations throughout Charlottesville and the Commonwealth of Virginia.

About UPG
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Working Here

At UPG, you will be part of the expert team of health professionals who deliver world-class care within UVA Health. At UPG, our clinical and administrative teams are dedicated to delivering the best academic care directly to the people of Virginia. We are widely acclaimed for our services, research and quality of care that we deliver in stand-alone primary and specialty care centers and in UVA Health’s nationally acclaimed medical centers.

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