What are the responsibilities and job description for the Medical Coder position at UNIVERSITY MUSLIM MEDICAL ASSOCIATION, Inc.?
Starting salaries are set in accordance with our compensation plan, which considers multiple individual and organizational factors, including internal equity. To uphold pay equity in alignment with the compensation plan, starting salary ranges are not negotiable. Before applying, please ensure that the compensation for this position meets your needs.
Our Mission
To promote the well-being of the underserved by providing access to high-quality healthcare for all, regardless of ability to pay.
Our services, activities and governance reflect the Islamic values and moral principles which inspired our founders. These include the core values which are universally shared and revered by society at large : Service, Compassion, Human Dignity, Social Justice, and Ethical Conduct.
Working at UMMA
UMMA is looking for passionate and mission-driven Staff who look to make an impact on the lives of our patients and the members of our community. These roles include Physicians and Medical Staff, Behavioral Health Staff, Administration, and more! For more information on the services we provide, Click Here
Benefits and Compensation
UMMA offers a competitive compensation and benefits package with comprehensive and cost-effective medical plans. Benefits package includes Medical, Dental, Vision, AD&D and Supplemental Life Insurance, Employee Assistance Program Tuition Reimbursement, loan repayment opportunities, 403(b) savings plan, employee discounts, extended lunch on Fridays, and more!
Our compensation plan also includes Paid Holidays, Paid Time Off (accruals begin on the first day of hire), Employee Recognition, and more!!
Summary
Design and implement processes surrounding proper coding of medical and behavioral health claims. Perform regular audits of coding, and train and guide clinical staff to improve coding compliance to maximize revenues. Willing to become super-user of eClinicalWorks electronic health record system, responsible for system oversight, report development and processing, and staff training and assistance.
Responsibilities :
- Acts as primary staff liaison with providers and other staff on coding and other claim errors.
- Reviews diagnosis and procedure coding within eClinicalWorks on a regular basis, in cooperation of billing manager including the establishment of a monthly audit protocol to ensure appropriate coding for optimal billing.
- Documents departmental procedures and workflows and makes recommendations for improvements.
- Educates and train clinical staff and providers on payer policies and general coding guidelines.
- Stays current with legal and regulatory changes, and local and national trends, in coding.
- Maintains current working knowledge of eClinicalWorks (eCW) updates, and ensures that eCW system is set up to work with clinic work flow.
- Trains and assists eCW users as needed, including providers and front and back office staff.
- Develops and maintains eCW reports to ensure compliance and ease-of-use with annual OSHPD and UDS reports, as well as other required reports in cooperation of Quality Improvement manager.
- Ensures that eCW is set up and utilized to allow clinic to achieve meaningful use as well as incentives based on clinical measures.
- Manages meaningful use attestations and clinical and provider compliance for all stages.
- Maintain strictest confidentiality; adhere to all HIPAA guidelines / regulations.
- Monitor and improve the efficiency of claims submission, processing, and reimbursement workflows.
- Track and analyze denials, identifying root causes and implementing corrective actions.
- Ensure accurate charge capture and reconciliation processes for clinical services.
- Develop and maintain performance benchmarks for billing processes and revenue cycle operations.
- Stay updated on industry regulations, payer requirements, and EMR updates to proactively address potential compliance issues.
- Review claims for coding and documentation errors and work with staff to correct and prevent future occurrences.
- Create and maintain user guides and documentation for EMR billing workflows and configurations
Qualifications
PHYSICAL ACTIVITY
While performing this work, the incumbent :
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
EQUIPMENT & SOFTWARE OPERATION
The incumbent in this position may operate any / all of the following equipment :
Computer software may include any or all of the following :
