Exclusive Posting for Community Health Team Members Transitioning to UVA Health - Coding Quality Specialist 1

• Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT-4, HCPCS and modifiers within a timely manner, to capture all services rendered by providers at all locations. Encounters may be within Epic, outside electronic medical record systems, or based on paper documentation.
• Reviews and resolves charge sessions that fail charge review edits and claim edits, works to improve billing based on findings/resolution of errors.
• Works follow-up work queues for denials (DRs) at the direction of management.
• Communicates with and provides feedback to the education team and/or provider on opportunities identified related to coding and/or documentation.
• Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
• Utilizes available resources for assignment of codes as necessary (e.g., Diagnostic Imaging system, Lab system, Emergency, Epic, and coding reference software and/or books).
• Performs other duties as assigned.

MINIMUM REQUIREMENTS

Education: High School Diploma or GED

Experience: One-year general office experience

Licensure: CCA/CPCA required or obtained within first year

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally requires traveling some distance to attend meetings, and programs.

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, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.