The Coding and Compliance Specialist at the University of Minnesota School of Dentistry will have responsibility for the coding and coding compliance function including: maintaining a coding compliance and monitoring program, auditing charts and applying appropriate ICD10 and other codes, educating and training providers on coding issues, maintaining current resources regarding coding guidelines for Medicare/Medicaid and other third party payers
Coding (30%) • Analyze supporting medical record documentation to ensure that appropriate CPT, HCPCs and ICD-10 codes are assigned. • Review medical record documentation and accurately assign ICD-10, CPT, and HCPCS codes, according to established correct coding guidelines and AHIMA’s standards of ethical coding. • Provides individual and group feedback and education to physician/providers, medical staff and other staff as a result of the medical record documentation reviews. • Consult with medical providers for coding and documentation clarification when necessary. • Review insurance denials with coding discrepancies. • Answer coding questions from providers and other staff as needed.
Compliance and Monitoring (70%) • Track and report on coding compliance of other coders and providers • Develop and maintain a plan for monitoring and tracking of coding and coding compliance activities. • Conduct prospective and retrospective coding reviews. • Ongoing review and tracking of coding rejections/denials by insurance.
All required qualifications must be documented on application materials.
Bachelor’s degree or a combination of education and relevant experience totaling four years.
CCS-P or CPC certification
CPT, ICD10-CM and HCPCS Coding systems.
Health information and medical record documentation, data integrity and quality.
Basic understanding of Medicare/Medicaid billing rules and other Federal regulations for billing and third party insurer billing policies and contract requirements.
Minimum of 2 years as a practicing outpatient/clinic coder.
Experience with Medicare, Medicaid and other third party payer reimbursement.
Knowledge of State and Federal laws governing billing and coding practices.
Excellent written and verbal communication skills.
Ability to positively interact with physicians, providers and staff.
Ability to organize work efforts and follow through on projects independently.
Ability to maintain confidentiality.
Problem solving skills.
Experience in monitoring coding related compliance programs desired.
Internal Number: 333392
About University of Minnesota, Twin Cities
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.