Medical Billing Coder I

Pay Grade/Pay Range: Minimum: $21.44 - Midpoint: $26.83 (Hourly N6) Department/Organization: 208411 - UMC Business Office Normal Work Schedule: Monday - Friday 8:00am to 5:00pm; some evening/weekend hours as needed Note to Applicants: Position is eligible for remote work subject to University policy. If an applicant is selected and will request to work from a state where the University does not currently have other regular employees, that applicant may be referred to the University’s 3 rd Party Employer of Record, nextSource, to serve as the official employer. Job Summary: - The Medical Billing Coder I provides timely and accurate processing of multi-specialty physician office visits, I/P and surgical hospital visits, and procedural coding in an academic environment. - Reviews and corrects charges submitted from the clinic and hospital electronic health record using CPT, HCPCS, ICD-10 and insurance payer standards. - Follows-up with accounts receivable on unpaid insurance claims. - Corrects denials and audit trails. - Responds to patient statement inquiries. Additional Department Summary: - Performs medical billing services for the College of Community Health Sciences (CCHS). - Prepares and submits clean claims to various insurance companies either electronically or by paper. - Reviews and verifies that documentation supports diagnoses, procedures and treatment results. - Trends problems in billing and coding and provides timely feedback to Faculty, Residents, Learners, and clinical staff regarding proper documentation and coding services. - Resolves coding edits at the time of charge entry to ensure timely claim submission. - Answers questions from patients, clinicians, clerical staff and insurance companies. - Identifies and resolves patient billing inquiries. - Evaluates patient’s financial status and establishes budget payment plans. - Identifies and flags delinquent accounts for submission to the collection agency. - Processes payments from patients and prepares an End of Day report. - Completes worklog tasks and outstanding accounts receivable reports by contacting insurance companies to resolve denials, submitting appeals, and calling patients to resolve COB issues. - Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Required Minimum Qualifications: - High school diploma or GED and four (4) years of medical bill coding experience; OR associate's degree or medical coding certificate and two (2) years of medical bill coding experience; OR bachelor's degree and some medical bill coding experience. Skills and Knowledge: - Experience processing charges submitted in an electronic health record system. - Demonstrated knowledge and skill in working with Excel spreadsheets and Word documents. - Excellent organizational and effective written and verbal communication skills. - Detailed oriented. - Excellent customer service skills, with respect, cultural awareness, and sensitivity. - Ability to work independently and problem-solving skills. - Time management skills. - Ability to maintain strict confidentiality Preferred Qualifications: - Certified Professional Coder (CPC) by American Association of Professional coders (AAPC). - Certified Coding Specialist by American Health Information Management Association (AHIMA). - ICD-10 training/experience. Background Investigation Statement: - Prior to hiring, the final candidate(s) must successfully pass a pre-employment background investigation and information obtained from social media and other internet sources. - A prior conviction reported as a result of the background investigation DOES NOT automatically disqualify a candidate from consideration for this position. - A candidate with a prior conviction or negative behavioral red flags will receive an individualized review of the prior conviction or negative behavioral red flags before a hiring decision is made. Equal Employment Opportunity: - The University of Alabama is an Equal Employment/Equal Educational Opportunity Institution. - All qualified applicants will receive consideration for employment or volunteer status without regard to any legally protected basis and will not be discriminated against because of their protected status. - Applicants and employees of this institution are protected under Federal law from discrimination on several bases. - More information is available in the EEOC’s Know Your Rights: Workplace discrimination is illegal poster. - The University of Alabama affirms its longstanding commitment to institutional neutrality, free speech, and academic freedom.