Billing Compliance Specialist - Surgical Sciences at University of Oklahoma in Oklahoma City, Oklahoma

Job Description:

Come join the staff at OU HSC and become a part of Oklahoma's premier research university which leads the state in education and career opportunities. OU HSC is one of only four comprehensive academic health centers in the nation with seven professional colleges. We are currently building world-class institutes for the treatment of diabetes and cancer. We are looking for a Billing Compliance Specialist to join our team! 

Duties:

• Performs audits for medical documentation, coding and billing to ensure compliance with Federal, State and other payer requirements.


• Contributes expertise to the development of compliance training to physicians and staff.


• Maintains and supports a culture of compliance, ethics, and integrity.


• Maintains knowledge of regulatory requirements and external laws as they relate to coding and medical billing.


• Performs analysis of medical records for accuracy of ICD-9 and CPT coding to ensure standards and regulatory compliance for services billed.


• Performs focused audits on identified risk areas.


• Develops reports to communicate audit findings and feedback to physicians and ancillary staff.


• Performs research via electronic and other media to assure understanding of documentation and coding is current and relevant.


• Coordinates educational activities for physicians, ancillary staff, and billing personnel on regulatory issues.


• Presents in-house seminars on regulatory and coding updates to physicians, ancillary staff and department billing staff.

Required Education:  Associate's Degree in Health Information Management (HIM)

• 48 months experience in coding and billing in a medical setting that includes at least 36 months experience in compliance auditing for coding and billing

Equivalent/Substitution: Will accept 24 months experience in abstract coding of professional services in lieu of the Associate's Degree for a total of 72 months experience

 

Skills:

• Knowledge of documentation and coding of diagnosis and procedures using ICD-9 and CPT methodology


• Knowledge of Federal and State regulatory requirements for billing professional services in an academic setting


• Knowledge of computer spreadsheets, graphs and word documentation


• Skilled in web-based research for federal, state and other regulatory body requirements


• Excellent skills in communication and presentations

Certifications:

• Coding certification by American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)


• Coding certifications are at least one of the following: Registered Health Information Administrators (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist Physician based (CCS-P), Certified Coding Specialist (CCS), OR Certified Professional Coder (CPC).

Working Conditions:

• 
  Physical: Sitting for prolonged periods. Communicate effectively and listen. Use of computer and telephone.


• 
  Environmental: Standard Office Environment

Why You Belong at the University of Oklahoma: The University of Oklahoma fosters an inclusive culture of respect and civility, belonging, and access, which are essential to our collective pursuit of excellence and our determination to change lives. The unique talents, perspectives, and experiences of our community enrich the learning, and working environment at OU, inspiring us to harness our innovation, creativity, and collaboration for the advancement of people everywhere.

Equal Employment Opportunity Statement: The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate based on race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, housing, services in educational programs or activities, and health care services that the University operates or provides.

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