Medical Coder

Senior Reimbursement Specialist / Medical Coder

Shift: 7am-4pm or 8am-5pm

Work From Home (WFH): Applicant will be able to WFH. Must live in Texas, DFW preferred. Additional details to be discussed as part of the interview process.

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

The Department of Surgery at UT Southwestern Medical Center has a new opportunity available for a Senior Reimbursement Specialist. The successful candidate will work under general supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions. The duties for this position may include but is not limited to the following: 

• Timely review, entry, and reconciliation of charges across various service areas
• Resolve claim edits and following up on denials.
• Quality checking and researching claims, tracking productivity, and reporting trends to the Reimbursement Manager.
• Requires effective issue escalation, communication of policy changes to assigned divisions, and educating these divisions on coding rules and documentation guidelines.
• Collaboration with other departments
• Maintain an up-to-date coding certification and cross-training with colleagues.
• Experience with vascular surgery coding preferred.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required

• Education
  High School Diploma or GED

• Experience
  6 years of progressively responsible experience in medical insurance, medical billing or medical reimbursement.

Preferred

• Licenses and Certifications
  (CPC) CERT PROFESSIONAL CODER Upon Hire or
  Advanced Records Technician (ART), Upon Hire or
  (RRA) REGISTERED RECORDS ADMIN Upon Hire

JOB DUTIES

• Performs complex policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes; ensures contracts reflect appropriate business decisions.
• Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately.
• Conducts meetings, organizes activities, reviews data analyses and reports, and creates reimbursement policies and procedures.
• Documents findings of inquiry and opinion letters. Maintains contract files, and files for research documents.
• Provides supervision to staff of lower grade in reimbursement operations.
• Performs other duties as assigned.

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.