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Medical Coder, AAPC or AHIMA — Hybrid Schedule (Signing Bonus up to $2,000)
CSU Health Network

Location: Fort Collins, Colorado
Work Setting: Other
Job Function: Coder, Coding – Auditor
Job Type: Full-Time
Salary Range: $49,104 – $55,008 full-time annualized salary + Full Benefits

Introduction

Billing and Coding
The Billing and Coding department at the CSU Health Network provides the service of accurately coding and billing clinic charges to commercial insurance companies. The department acts as the liaison between student/parents and their insurance company to decipher contracting status and claim payment disputes. Our department follows the status of payments to ensure insurance companies are paying in a timely and accurate manner. The Billing and Coding department provides services between the hours of 8:00 am – 5:00 pm Monday-Friday, providing attractive work schedules for staff.

CSU Health Network
The CSU Health Network (CSUHN) at Colorado State University provides a full range of cost-effective mental health and primary care medical services on campus, referral for community specialty care, and comprehensive health education and prevention services programming. Services such as physical therapy, dentistry, and optometry are available. The CSU Health Network is active in creating a healthy campus environment to support learning and success. For more information about the CSU Health Network at Colorado State University, see http://www.health.colostate.edu.

Why work at Colorado State University?
Commitment to Campus
Colorado State University’s Commitment to Campus encompasses a wide range of programs, discounts, and special benefits available to CSU faculty and staff. Here are just a few…
FREE credit courses (up to 9-semester credits per year) through Employee Study Privilege
FREE growth/training/development opportunities
FREE MAX transit use with CSU identifications
FREE GED Preparation and Training
After-school programs and summer camps for kids
Tuition Scholarships up to 50% for eligible family members
For more detail about these and other Commitment to Campus programs, visit: https://commitmenttocampus.colostate.edu/.

Retirement Programs
While employees of CSU do not contribute to Social Security, the University and the state of Colorado offer competitive retirement plans. As a condition of employment and required by Colorado law, employees are required to participate in either the University’s Defined Contribution Plan (DCP) or the Public Employee’s Retirement Plan (PERA) of Colorado. Each plan offers a generous employer match between 10% – 21%. For more information, visit: https://hr.colostate.edu/prospective-employees/our-perks/.

Top Public Research University
Colorado State University is one of the nation’s top public research universities and an institution on the rise. In the last decade, CSU has produced record enrollment, built on all-time highs in student diversity and student success; record fundraising far outpacing ambitious goals; groundbreaking research driven by a highly productive faculty; a campus revitalized by a transformational building campaign; and, perhaps most important, an unrivaled learning environment where nine of 10 recent graduates say they would choose CSU again and rate their education as excellent.

CSU was recently ranked first among Colorado-based educational employers and fifth among all in-state employers in Forbes magazine’s “America’s Best Employers by State!”

Campus Culture and Principles of Community
Colorado State University has a campus culture that is driven by a desire always to do better and a vision to be the best place to learn, work, and discover. Our Principles of Community – Inclusion, Integrity, Respect, Service, and Social Justice – reflect our core values and support CSU’s mission and vision of access, research, teaching, service, and engagement. Each member of our community has a responsibility to uphold these principles when engaging with one another and acting on behalf of the University.

Tobacco and Smoke-Free
Colorado State University is a tobacco and smoke-free campus. For the health of our university community, the use of smoking, vaping or tobacco products is prohibited on CSU grounds or in buildings.

Live in Fort Collins
Fort Collins, which has been home to CSU since the University’s inception in 1870, is a vibrant, friendly city of 161,000 tucked against the foothills of the Rocky Mountains in Northern Colorado, just 60 miles from Denver. The city boasts a lively arts and cultural scene, shopping in historic Old Town, a strong economy, and is a haven for outdoor enthusiasts. With more than 200 miles of bike paths and trails, easy access to the scenic Poudre River and majestic Rocky Mountain National Park, and within easy driving distance of Colorado’s iconic ski areas, it is a year-round paradise. Boasting a mild climate, thriving high-tech industry, and some of the best microbreweries in the world, it’s no wonder Fort Collins annually ranks among the most livable small cities in the United States.

Position Summary

The Coding Technician serves as advisor and consultant to all medical and ancillary staff on clinical coding including the proper assignment of codes for clinical, insurance and reimbursement, regulatory compliance and reporting functions. The position works directly with the medical record to evaluate medical coding to prepare for accurate billing and to ensure clinical staff are staying within the standards of appropriate documentation.

The position will assist in the development, presentation, and provision of education to clinical staff on all pertinent coding systems. The position is responsible for working with outside companies, including third-party administrators (TPA), clearing house, insurance companies, regulatory bodies, as well as internal Health Network departments to enable proper coding and insurance interactions.

This position works a full-time hybrid schedule 2.5 days in office and 2.5 days remote Monday-Friday.

*This position is eligible for a signing bonus of up to $2,000

Job Description

Close Date at midnight 3/7/23
Apply at: https://jobs.colostate.edu/postings/121861

Job Duty Category
Clinical Coding
Duty/Responsibility
Ensures the proper utilization and assignment of coding for clinical documentation, insurance and reimbursement, regulatory compliance, and reporting functions after review of the medical record
Provides information and feedback on coding-related software edits, denial issues, reimbursement trends, and billing and coding errors to pertinent departments/individuals
Release medical records to insurance companies upon request of coding review or the need for reimbursement by the insurance company.
Other duties as requested by Manager
Percentage Of Time 30%

Job Duty Category
Auditing
Duty/Responsibility
Completes, analyzes and reports on clinical provider audits used to assess the proper use of diagnosis and procedure codes, correct clinical documentation, insurance and reimbursement, regulatory compliance and reporting functions
Other duties as requested by Manager
Percentage Of Time 10%

Job Duty Category
Collaboration with Business Services Staff
Duty/Responsibility
Interacts with billing and insurance departments regarding insurance carrier payment denials and recommends appropriate resolution
Performs other duties as requested by Manager
Percentage Of Time 10%

Job Duty Category
Clinical Education and Training
Duty/Responsibility
Assists with education plans, presents training program, and provides education to clinical departments regarding coding, including CPT, HCPCS, ICD10, DSM, revenue codes and modifiers, and their compliant use
Performs other duties as requested by Manager
Percentage Of Time 10%

Job Duty Category
Reporting and Trending
Duty/Responsibility
Develops, generates, and evaluates reports, dashboards, and benchmarks for trending
Participates in quality improvement initiatives to enhance the quality of position processes and programs
Performs other duties as requested by Manager
Percentage Of Time 5%

Job Duty Category
Collaboration with Third Party Vendors
Duty/Responsibility
Coordinates coding details/requirements between TPA, Clearing House, insurance companies to ensure information flow is accurate and timely
Performs other duties as requested by Manager
Percentage Of Time 5%

Job Duty Category
Regulatory
Duty/Responsibility
Analyzes and communicates changes from external regulatory bodies to identify/ substantiate diagnoses, procedures, and modifiers that support services coded/billed
Identifies and reports compliance issues
Performs other duties as requested by Manager
Percentage Of Time 10%

Job Duty Category
Chargemaster Management
Duty/Responsibility
Updates, corrects and manages the CPT procedure code files to ensure they reflect current codes and accurate pricing
Updates and corrects ICD-10-CM file to ensure accuracy in diagnosis coding
Performs other duties as requested by Manager
Percentage Of Time 5%

Job Duty Category
Payment reporting
Duty/Responsibility
Utilizes Excel spreadsheets to log/report electronic, credit card, or paper check insurance payments to our accounting department..
Runs credit card insurance payments.
Processes and scans paper check payments to designated pharmacy or commercial payment files.
Downloads Explanation of Benefits from multiple websites to designated pharmacy or commercial payment files.
Scans paper denials and zero payments to designated posting files.
Downloads electronic zero payments to designated pharmacy or commercial files.
Percentage Of Time 15%

Required Qualifications

• Certification
  • Medical Coding Certification through AAPC or AHIMA

Please note: To meet this requirement you must submit a copy of your certification in the documents section of this application.

• Experience
  • Two years of experience working as a medical coder in an outpatient or family practice medical environment, which may have included mental health, orthopedics, optometry, women and gender, immunizations, or physical therapy office.
    The highly desired candidate will possess the following knowledge, skills, abilities, personal characteristics, and experience directly related and critical to this position

Preferred Qualifications

The highly desired candidate will possess the following knowledge, skills, abilities, personal characteristics, and experience directly related and critical to this position:

• Education
  • Associates degree in Health Information Management
• Experience
  • Two years of experience working as a medical coder in an outpatient or family practice medical environment (outpatient mental health, orthopedics, optometry, women and gender, immunizations, laboratory, and physical therapy)
  • Experience resulting in proficiency working with insurances contesting denials due to coding issues
  • Experience working with insurance coding and billing using ICD10-CM/ICD-9-CM, CPT-4, HCPCS, and DSM-5
  • Experience auditing professional fee services, including medical and or psychiatry
  • Experience with the electronic health record (EHR)
  • Experience with managing a Chargemaster (non-facility)
  • CDI experience
  • Working knowledge of Microsoft Office Suite or related software, and similar computer applications
  • Related state service experience

• Knowledge, Skills, Abilities and Other Characteristics

  • Knowledge of how insurances reimburse based on diagnosis and billing codes
  • Knowledge of applying insurance contracts
  • Ability to complete continuous education to keep abreast of new developments in coding updates/ technology/ research/ regulatory data
  • Ability to create training curriculum and facilitate training for medical providers, clinical and business staff
  • Ability to maintain confidentiality of patient information in accordance with HIPAA; CSU Health Network policies; Colorado State University; state and federal regulations
  • Proficiency in using billing/coding software applications
  • Proficiency in using Microsoft Office Suite, including Excel
  • Strong listening, verbal, and written communications skills
  • Strong decision-making and problem-solving skills
  • Organizational skills with the ability to meet deadlines
  • Ability to adjust to changing priorities and workload volume
  • Ability to analyze policies, programs, and initiatives to make recommendations for quality improvement
  • Knowledge and experience working with diverse populations
  • A personal or professional commitment to diversity, equity, and inclusion through active planning and purposeful effort
  • Strong attention to detail

Education Qualifications

Close Date at midnight 3/7/23.
Apply at: https://jobs.colostate.edu/postings/121861

Compensation/Benefits

Colorado State University (CSU) and the State of Colorado are committed to providing employees with a strong and competitive benefits package that supports you, your health, and your family. Visit CSU’s Human Resources website for detailed benefit plan information for permanent full-time and part-time classified employees in the following University benefit areas: https://hr.colostate.edu/hr-community-and-supervisors/benefits/benefits-eligibility/ and https://hr.colostate.edu/prospective-employees/our-perks/.

Instructions for Resume Submission

Close Date at midnight 2/20/23
Apply at: https://jobs.colostate.edu/postings/121065

Posted: February 8, 2023 at 2:22 PM
Post ID: 75651

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