Accept the Challenge…Make a Difference
University of Florida Jacksonville Healthcare, Inc. has supported the University of Florida's physician practice in Jacksonville and other northern Florida and southern Georgia communities since 1971. UFJHI provides a wide range of business services to one of the largest mixed specialty practices in the southeastern United States consisting of over 300 physicians working in 30 clinics. UFJHI is an exciting and challenging place to work. We really care about the communities and patients that we serve. Our employees work alongside nationally and internationally renowned physicians who are engaged in teaching and research as well as providing healthcare services. Primarily located in Jacksonville, Florida, UFJHI also offers a great north Florida lifestyle with countless recreational activities, museums, orchestras along with professional and amateur sports.
Scope of the Job
Educate and inform providers, clinic personnel, business group personnel, and co-workers regarding ICD-9 diagnosis coding, CPT-4 procedure coding, medical terminology, and third-party carrier reimbursement policy issues.
The essential functions are the primary dimensions for performance review.
Review industry correspondence and literature, summarize pertinent coding and reimbursement information, and distribute to appropriate providers, clinic staff, and UFJP personnel.
Interact with follow-up and collection personnel to obtain current and revised carrier reimbursement information, and distribute pertinent findings to appropriate personnel.
Assist business group and satellite staff with coding and reimbursement policy questions.
Research and resolve coding and reimbursement policy issue questions.
Conduct diagnosis/procedure coding training for new providers. Training topics will include Evaluation & Management coding/documentation, Teaching Physician documentation guidelines, Billing Compliance and specialty-specific coding guidelines.
Conduct annual diagnosis/procedure coding, chart documentation, specialty-specific coding, and Evaluation & Management documentation training for residents.
Conduct annual and periodic refresher training to all providers on the topics of Evaluation & Management coding/documentation, Teaching Physicians documentation guidelines and Billing Compliance.
Conduct CPT-4 and ICD-9 coding/reimbursement training for business groups and satellites personnel. Topics to include procedural and diagnosis coding, teaching physician documentation guidelines, E&M documentation guidelines, and specialty-specific coding issues.
Conduct special training sessions as necessitated by changes in carrier coding/reimbursement policies, coding/documentation deficiencies, or problematic reimbursement issues.
Assist Manager of Reimbursement and Director of Clinical Data Quality with research and analysis for special reimbursement projects.
Research for and assist with publication of periodic newsletter of coding and billing information for providers and staff.
Must be able to perform under stress when confronted with emergency, critical, or unusual situations. Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility. Required to make independent judgments without supervision. Must be able to make generalizations, evaluations, or decisions based on sensory or judgmental criteria. Must have the adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Requires the ability to work with people beyond giving and receiving instructions.
SKILLS, QUALIFICATIONS, AND REQUIRED EXPERIENCE
Excellent oral and written skills.
Proficiency with CPT-4 procedural coding and ICD-9 diagnosis coding.
Ability to manage multiple priorities and deadlines.
Ability to work independently.
Financial and reimbursement analysis skills.
Excellent presentation skills in a group and individually.
Proficiency with software applications: Windows, Excel, Word, PowerPoint, Adobe PageMaker.
Experience with management information systems and medical software.
Proficiency with medical terminology.
Medical billing experience preferred.
Ability to interact effectively with staff and outside contacts on a variety of levels.
Education and Certifications
CPC certification required within six months of hire.
Associate’s Degree Preferred. High School Diploma/GED equivalent required.
Proficiency in training and group presentations.
Medical billing/claims experience including coding, medical terminology, and third party reimbursement.
Proficiency with PCs and word processors.
University of Florida Jacksonville Healthcare Inc. - 7 months ago