Coding & Billing Specialist Intermediate/Advanced - Internal Medicine - Remote Opportunity
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.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Essential Functions of the Job:

  • 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.

MINIMUM REQUIREMENTS FOR INTERMEDIATE LEVEL:

Education:

  • High School Diploma or GED

Experience:

Intermediate:

  • Certified Coding Certificate or two years of coding/clinical experience
  • Knowledge and/or experience in a health care setting a plus
  • In-depth knowledge of third-party payer reimbursement policies
  • Incumbent must have successfully completed the following classes: Medical Terminology
  • Incumbent should have a working knowledge of CPT-4 and ICD-10 coding and modifier use

Advanced:

  • Coding Certificate and one year coding experience; or three years professional 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 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
Working Here

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.

Quality Of Life

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.