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UT Health Compliance Coding Analyst in Healthcare Billing Compliance in Texas Medical Center-Houston, Texas

Compliance Coding Analyst in Healthcare Billing Compliance

Texas Medical Center-Houston, Texas

Legal

McGovern Medical School at UTHealth

Requisition #: 210002US

Position Summary:

Coordinates, schedules, and performs coding and documentation reviews of medical/patient records to ensure proper billing practices are compliant with applicable laws, rules, and regulations. Provides departmental oversight and specialty-specific education related to physician coding/compliance, non-physician practitioner coding/compliance and appropriate coding conventions for individual staff members and collective groups within the department.

Position Key Accountabilities:

  1. Performs physician billing reviews to establish compliance with teaching physician billing guidelines.

  2. Acts as first-line liaison on behalf of Billing Compliance Coordination Department, as directed.

  3. Preforms billing compliance audits via the MD Audit system, to include routine audits, special audits, risk based audits and special investigation audits for assigned department(s).

  4. Coordinates education for all internal parties involved in the billing process.

  5. Identifies provider specific educational needs relative to professional coding and documentation.

  6. Acts as a resource and responds to billing and coding questions from providers, staff and administrators.

  7. Assists in developing department billing compliance policies and procedures, to include the department’s Annual Compliance Plan, Bylaws and Risk Assessment.

  8. Analyzes routine data/reports and denials from the billing process activities to identify trends, issues, and risk areas.

  9. Ensures compliance with regulatory agencies, correct coding initiatives and regulatory guidelines for clinical documentation.

  10. Performs other duties as assigned.

Certification/Skills:

Effective analytical and communication skills; and extensive PC knowledge, especially in the area of word processing and spreadsheets.

One or more of the following certifications:

-Certified Professional Coder (CPC), or

-Certified Coding Specialist Physician-based (CCS-P), or

-Registered Health Information Administrator (RHIA), or

-Registered Health Information Technician (RHIT)

Minimum Education:

Bachelor’s degree in business, health administration, health information management or relevant work experience in lieu of education.

Minimum Experience:

Three years direct experience or comparable competency in chart abstraction, ICD or CPT coding, charge documentation and charge capture resolution. Experience in academic health care auditing preferred.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

If you are looking for a great healthcare career in Houston, visithttp://go.uth.edu/careers!

University of Texas Health Science Center at Houston (UTHealth)

Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.

UTHealth Benefits

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https://www.uth.edu/benefits/benefits-summary.htm

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UTHealth is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.

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As you may already know, UTHealth recently decided to take an important and necessary step to protect members of our community against COVID-19 by making COVID-19 vaccinations mandatory for all employees, residents, fellows, contractors, and volunteers. Individuals subject to the vaccination requirement must be fully vaccinated on or by January 4th, 2022. Additionally, all members of our community—including students and visitors—are required to comply with our new COVID-19 Workplace Safety Protocol, which contains masking and physical distancing requirements that applies in certain settings depending on the individual’s vaccination status.

In addition, all UTHealth employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’s rules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination requirements.

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