Physician Billing Coder II | Patient Billing Coordinators | Days | Full-Time

Summary:

Review, analyzes and assigns the final diagnoses and

procedures as stated by the practicing provider's documentation

following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure

reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records

and proper assignment of ICD 10 CDM, HCPCS and CPT codes, verbally, physically, and in written forms.

Competencies:

Hospitality:

• This domain incorporates the company value, "Caring."

• Employees are exhibiting hospitality when they are acting as hosts and are creating a welcoming, warm, and safe environment for patients, visitors, customers, and co- workers.

• Standards of Behavior in this domain include: First Impressions, Etiquette in Shared Spaces, Way-Finding, Patient & Customer Interaction, AIDET Communication, Patient Wait Times, Noise Levels, Patient & Visitor Problem-Solving.

Communication:

• Recognizes the need to make the exchange of critical information in a warm, welcoming and attentive manner. Make a personal connection that leads to excellent patient care and a positive experience for all customers.

• Practices all applicable items on the Hospitality Checklist at https://bridge.ufhealthorg/hospitality/resources/

• Achieves: Respects the patient's rights to privacy and confidentiality. Does not discuss patient care/employee information in public areas; maintains patient/employee information in a secure location. Actively listens to customers; insures customers understand both verbal and written communication. Uses appropriate body language and is hospitable in both oral and written communication.

• Exceeds: Is a role model in exhibiting all aspects of the communication standards on the hospitality checklist. The employee is acknowledged frequently for observable actions in his/her communications to customers. Maintains composure and provides compassion and empathy even when faced with hostility from others and/or other stressful conditions and anticipates customers' need for follow-up communication.

Teamwork:

• Works cooperatively with co-workers, volunteers, medical staff and other team members to achieve goals.

• Practices all applicable items on the Hospitality Checklist at https://bridge.ufhealth.org/hospitality/resources/

• Achieves: Helps and supports others in their efforts to solve customer problems and accomplish UF Health's goals, including patient/customer transition to next point of contact; listens to the concerns of the team, and communicates appropriately; shares information and own expertise with others to help others accomplish group goals; gives credit and recognition to others who have contributed to the team; supports and acts in accordance with final group decisions even when such decisions may not entirely reflect one's own position. Maintains respectful interactions with team members and treats colleagues with courtesy and respect. Recognizes coworker's accomplishments and acknowledges their successes on behalf of the team. Manage-up co-workers' contributions to the team.

• Exceeds: Helps to keep levels of team performance and morale high even during periods of intense pressure and high work volume; looks for alternative ways to work with others that will create better results and working relationships; solicits a diversity of perspectives on issues and uses ideas contributed by team members to shape decisions; breaks down barriers or organizational boundaries to ensure team's success. Is seen by co-workers as a role model in improving the appearance of the immediate work site as well as improving the appearance of the facilities outside of the immediate work site.

Professionalism/Responsibility:

• This domain incorporates the company values, "Integrity," "Quality," and "Accountability."

• Employees are exhibiting professionalism and responsibility when they act as ambassadors of UF Health and ensure that their integrity, appearance, work environment, and quality of work improve patient and customer perceptions, and UF Health's reputation.

• Standards of Behavior in this domain include Personal Responsibility, Physical Appearance & Presentation, and Appearance & Maintenance of Work Areas.

Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.

• Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills.

• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed.

• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.

• Communicates with Physicians, other business group personnel, clinical areas, and staff in coding related questions.

• Manage coding related edit work queues.

• Prepares documentation audits with written results and trend data. Presents the results to the Provider, Department Chairman, and/or Compliance Officer.

• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.

• Identify and account for missing charges and/or documentation.

• Performs coding work requiring independent judgment with timeliness and accuracy.

Qualifications:

• Experience Requirements:
• 3 years - Orthopedic nursing or as a nurse navigator or similar role.
• Perioperative and/or progressive care experience preferred.
• Understanding of insurance authorization processes preferred.

• Education:
• Associates Nursing required Bachelors
• Nursing preferred

• Certification/Licensure
• Current licensure as RN in Florida or valid licensure in one of the states under the Enhanced Nurse Licensure Compact (eNLC). If licensed under the eNLC, must obtain FL RN licensure within 90 days of becoming a Florida resident.
• Basic Life Support (BLS) required at time of hire ONC certification preferred

• Travel:
• Up to 10%

• Additional Duties:
• Additional duties as assigned may vary.

UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.