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Abstractor III- PB Financial- F/T Days - Medical Billing & Coding

Date Posted: Feb 23, 2024
Medical Billing & Coding

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Job Description

Full Job Description

Updated: Jan 24, 2024
Location: Anaheim
Job Type:
Department: PB Financial Services

 

UC Title: PAT RCDS ABSTRACTOR 3
Position Number: 41051497
Reports to: Dir, Physicians Billing Group
Working Title: Abstractor III
Cost Center: PB Financial Services (428553)
Bargaining Unit: AFSCME
FLSA: Nonexempt
Date Created: 12/08/2023
Job Code: 004717
Hours: 40
Shift: Not Applicable
FTE: 1

 


Position Summary:

Under the general supervision of the Billing Manager, the incumbent independently performs highly complex and detailed coding for all inpatient and outpatient services, procedures and surgeries billed by the Physician Billing Group. Provides assistance to other staff including physicians with coding issues that extend from dictated reports, which include H&P, written ER reports, chart notes, procedures, clinic notes and encounter forms, error billing reports and various other sources. Coding is to be done to maximize reimbursement, and in compliance with University, Medicare, HCFA, Commercial insurance and all other related entities' strict guidelines and policies.

 


Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits).

 

Salary Range: Hourly Rate Minimum $38.33 Midpoint $43.00 Maximum $47.67
 

Required Qualifications:
Ability to establish and maintain effective working relationships across the Health System
Ability to maintain a work pace appropriate to the workload
Must demonstrate customer service skills appropriate to the job
Excellent written and verbal communication skills in English
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Extensive working knowledge of ICD-10, CPT and modifier coding systems and tools.
Ability to effectively and accurately extract, create, verify and or support appropriate CPT codes from dictations, reports or encounter forms leading to a timely collections of billing in a compliant method.
Skill, knowledge and ability to exercise a sound professional coding judgment consistent with government and private payer requirements to ensure all codes/ modifiers are appropriate and assure maximum reimbursement.
Demonstrated high level of reading and comprehension skills. Possess the skill to read and comprehend documents and takes appropriate action. Well-developed verbal and written communication skills to effectively develop communications to various stakeholders. Accurate typing and proofreading skills. Filing and record keeping skills.
Ability to sit and code for a prolonged period of time during the day.
Extensive knowledge of medical terminology. Extensive knowledge of anatomy and physiology.
Effective use with medical record information to ascertain appropriate billing codes. Ability to read and understand difficult to read writing in medical records to decipher appropriate CPT/ICD-9/Modifier codes.
Knowledge of 3rd party payers and government regulations and compliance programs to assist collectors with coding questions/issues.
Demonstrated ability to work efficiently with minimal supervision, combined with initiative to system improvement. Demonstrated ability to work independently with only general supervision. Demonstrated possession of good organizational skills, while maintaining flexibility to respond to changing priorities. Skills to organize and prioritize workload coordinate multiple assignments simultaneously to meet and complete conflicting deadlines. Ability to maintain work standards and productivity standards set by the department. Ability to prioritize and work proficiently with multi-tasks as assigned by management.
User level experience with PC and MS Office applications, e.g.) Word, Excel, Outlook. Demonstrated skill/experience working with computerized reports to abstract information. Ability to analyze coding/denial and or system data to effectively implement problem solving skills.
Ability to interact in a professional and diplomatic manner with conflicting perspectives. Effective interpersonal and professional communication skills to interact with staff, vendor and client in a diplomatic manner.
Demonstrated skill/experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriers
Basic accounting knowledge to understand credits debits and the ability to accurately audit patient ledgers.
Possess Certified Professional Coder (CPC) certificate.
 

Preferred Qualifications:
Knowledge of University and medical center organizations, policies, procedures and forms
Knowledge of EPIC Billing Systems, Encoder experience is highly preferred.
 


Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

  • Background Check and Live Scan
  • Legal Right to Work in the United States
  • Vaccination Policies
  • Smoking and Tobacco Policy
  • Drug Free Environment

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