This role involves assisting with the analysis of medical record documentation against billing guidelines and educating departments and faculty on proper medical record documentation for patient services. The consultant conducts quality reviews of coding activities to ensure compliance with coding and billing standards.
Responsibilities
Conduct quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with all coding and billing standards
Research and resolve coding related denials as reported
Review and resolve services in charge review to identify coding issues/trends
Recommend changes to policies and procedures to improve professional fee coding and data management
Perform all aspects of daily work in a manner that contributes to and ensures an environment of strict confidentiality
Provide feedback to providers based on quality reviews to minimize errors
Develop and perform training regarding documentation, billing and coding to inform providers of changes/updates in guidelines or activities that prevent denials or increase revenue
Provide education regarding coding, billing and documentation to end users and ancillary staff as needed
Report compliance issues detected through reviews and collaborate with Compliance to identify and implement corrective action plan to resolve issue
Serve as a resource for coding activities within the assigned department(s) and/or sub-specialties
Perform all other duties as assigned
Requirements
Knowledge of Federal, State and Payer regulations
Proficiency in ICD-10 and CPT coding
Strong leadership skills; ability to apply judgment in making informed decisions
Proven ability to manage multiple responsibilities while meeting objectives and working with teams
Strong verbal, written and interpersonal communication skills
Detail-oriented with meticulous planning and organizational skills
High School Diploma or GED is required
Five (5) years related experience is required
Benefits
UT SELECT Medical insurance offered free for employees, administered by Blue Cross and Blue Shield of Texas
Discounted copays and coinsurance when using UT Health Physicians
$50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage at group rates
Three dental insurance plan options available for employees and their families through Delta Dental Insurance Company
Two vision plan options offered by Superior Vision Services
Millions of jobs, with real people getting hired every day
200,000+
New jobs added daily
7,000,000+
Verified job listings
1,000,000+
Tailored applications submitted
Disability Insurance provides income if a non-work related illness or injury prevents you from working
Flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses
Eligibility for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP)
Voluntary retirement programs available with choice of five quality retirement plan providers
Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) based on years of service, given at the start of each fiscal year
Extended Illness Bank: 8 hours (1 day) accrued per month
Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment
Holidays: 12 set paid holidays each year
Discounts on services, tickets, and gym membership
About the Company
The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites higher education, biomedical discovery, and healthcare. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio serves approximately 42,000 students in 320 academic programs. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America
’s Best Employers for Company Culture.
