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HIM Coder/Insurance coverage Biller – UNC Greensboro

Job title: HIM Coder/Insurance coverage Biller

Firm: UNC Greensboro

Job description: Posting ParticularsRequisition Quantity S2779
Place Quantity 005278
Place Classification Title College Program Specialist
Useful Title HIM Coder/Insurance coverage Biller
Place Sort Employees
College InfoSituated in North Carolina’s third largest metropolis, UNC Greensboro is among the many most numerous, learner-centered public analysis universities within the state, with almost 18,000 college students in eight faculties and colleges pursuing greater than 150 areas of undergraduate and over 200 areas of graduate research. UNCG continues to be acknowledged nationally for tutorial excellence, entry, and affordability. UNCG is ranked No. 1 most inexpensive establishment in North Carolina for web price by the N.Y. Instances and No. 1 in North Carolina for social mobility by The Wall Avenue Journal – serving to first-generation and lower-income college students discover paths to prosperity. Designated an Innovation and Financial Prosperity College by the Affiliation of Public and Land-grant Universities, UNCG is a community-engaged analysis establishment with a portfolio of greater than $67M in analysis and artistic exercise. The College’s 1,100 school and 1,700 workers assist create an annual financial influence for the Piedmont Triad area in extra of $1B.
Major Objective of the Organizational UnitThe mission of Pupil Well being Companies is to supply collaborative well being care designed to empower college students to develop lifelong expertise that improve their bodily, psychological, and wellness standing in an inclusive and affirming surroundings.
Pupil Well being Service:

  • Offers student-centered, medical, counseling, and well being promotion companies that are inexpensive and accessible.
  • Makes use of a multidisciplinary and collaborative method to wellness and well being care.
  • Offers an surroundings of inclusion, respect, and appreciation of variety.
  • Promotes skilled excellence, responsiveness, and moral apply.
  • Is dedicated to the help of the academic, analysis, and repair missions of the College.

Place Abstract

  • Evaluate of medical data of scholars in insurance policy who obtain companies at Pupil Well being Companies and assigning codes that replicate affected person diagnoses, procedures carried out, gear used, and many others. to facilitate the billing and reimbursement course of.
  • To make sure compliance with appropriate coding initiatives, fraud and abuse rules, HIPAA and different rules.
  • To arrange and coordinate workplace operations, procedures, and sources that facilitate the group’s effectiveness and effectivity.
  • Function backup for billing, making certain claims are processed in a well timed method.
  • To speak in written and oral kind and ship acceptable info in an expert and respectful method.

Minimal {Qualifications}BACHELOR’S DEGREE AND ONE YEAR OF EXPERIENCE RELATED TO THE AREA OF ASSIGNMENT; OR EQUIVALENT COMBINATION OF TRAINING AND EXPERIENCE. ALL DEGREES MUST BE RECEIVED FROM APPROPRIATELY ACCREDITED INSTITUTIONS.
Extra Required Certifications, Licensures, and Certificates-Certificates in Medical Coding or an Affiliate’s diploma in Medical Coding
-Data of HIPAA
Most popular {Qualifications}-Well being Info and Digital Well being Report expertise
-School Well being expertise
Alternate PossibilityIf no candidates apply who meet the required competency degree and coaching & expertise necessities, then administration might contemplate different candidates. Wage could be decided primarily based on competencies, fairness, finances, and market issues.
Particular Directions to Candidates**Candidates holding an Affiliate diploma with no less than 3 years of billing/coding expertise are inspired to use.Candidates are required to add an inventory of no less than three (3) skilled references that features: * Identify,

  • Firm Identify,
  • Sort of reference (Skilled, Supervisor, Colleague, Tutorial, or Private). One (1) of these references will have to be a present or earlier supervisor.
  • E mail Deal with
  • Contact Cellphone Quantity

Recruitment Vary $54,874 – $57,762
Org #-Division Pupil Well being Companies – 44604
Work Hours of Place 8am-5pm, Monday-Friday
Variety of Months per Yr 12
Posting Necessities
Job Household Administrative & Managerial
Profession Banded Title College Program Specialist
Open Date 03/13/2024
Shut Date 05/02/2024
FTE 1.000
FLSA Non-Exempt
If different, please point out
If time-limited, please specify finish date for appointment.
Wage Grade EquivalencyKey DutiesKey AccountabilityCoding/Billing
Important Duties

  • Creates and oversees administrative features associated to coding and billing in all Pupil Well being Service clinic services.
  • Maintains and establishes accounting insurance policies, procedures, operations, and processes, for all consumer and insurance coverage billing, coding and reporting.
  • Makes use of the digital well being document to help with the coding/billing course of.
  • Collaborates with medical suppliers when wanted, to facilitate the coding/billing course of.
  • Ensures compliance with appropriate coding initiatives, fraud and abuse rules, HIPAA and different rules.

Key AccountabilityDifferent Duties
Important Duties

  • Different duties as assigned to help with the organizational mission of the College.

Key AccountabilityShopper/Buyer Service
Important Duties

  • Offers very good relationships and customer support with inner and exterior clients.
  • Independently interprets insurance policies and procedures inside delegated authority when responding to coding/billing inquiries.

Key AccountabilityDrawback Fixing
Important Duties

  • Works successfully and effectively to confront and resolve points in an expert method.
  • Resolves recurring points and issues in addition to some distinctive conditions.
  • Anticipates issues and develop suggestions for administration decision.

Key AccountabilityInfo/Data Administration
Important Duties

  • Understands acceptable knowledge assortment insurance policies and procedures, submitting programs, pc purposes, and knowledge administration programs and packages.
  • Compiles, assimilates, organizes, and shops printed and digital info.
  • Evaluations, compiles, and analyzes info to organize reviews.

CompetencyCompetency Skilled Data
Competency Description

  • Data of program insurance policies, procedures, know-how, greatest practices and their theoretical bases.
  • Potential to interpret and apply a wide range of interrelated insurance policies, procedures, and packages for purchasers and to handle purchasers’ non-routine points.
  • Data of recent theories, tendencies, legal guidelines or precedents demonstrated by recommending and implementing enhancements or vital modifications to insurance policies, procedures and/or program(s).

Competency Stage Journey
Competency Program/Undertaking Administration
Competency Description

  • Potential to manage and/or handle a program with established pointers and requirements in its entirety or to manage a number of elements of a multi-faceted program.
  • Potential to make sure program/mission accountability.
  • Potential to outline scope, objectives, duties, deliverables, timelines, instruments, and sources.
  • Potential to evaluate the wants of the work unit or mission.
  • Potential to find out any gaps, and advocate modifications in procedures, workflow and work assignments to enhance effectivity and effectiveness in efficiency of people and the work unit as an entire.
  • Potential to develop and monitor program/mission databases, schedules and reviews.
  • Potential to make sure accuracy of knowledge and compliance with program requirements.
  • Potential to carry out skilled program administrative duties, together with technical selections.
  • Potential to collaborate within the growth and completion of grants and contracts.
  • Potential to manage pre- and post-award agreements.
  • Potential to organize associated reviews as required.

Competency Stage Journey
Competency Session
Competency Description

  • Potential to advise and collaborate with purchasers, program individuals, and others to resolve troublesome points in assigned program space(s).
  • Potential to determine tendencies.
  • Potential to acknowledge the influence of insurance policies, procedures, and legal guidelines.
  • Potential to use information and understanding of program tradition, points, and work relationships to handle conditions.
  • Potential to share information and significant pondering course of.
  • Potential to advertise the usage of greatest practices to attain mutually agreeable outcomes within the decision of points.
  • Potential to find out and doc a plan of action to handle advanced, ambiguous or distinctive operational and/or programmatic points in assigned space(s).

Competency Stage Journey
Competency Info Evaluation and Resolution-Making & Essential Pondering
Competency Description

  • Potential to assemble, arrange, and analyze program info, knowledge, and/or monetary info.
  • Potential to evaluation, study, and put together paperwork.
  • Potential to make suggestions primarily based on the outcomes of that info.
  • Potential to determine, acknowledge, and resolve issues which have established pointers and precedents.

Competency Stage Journey
Competency Info & Data Administration
Competency Description

  • Potential to investigate enterprise operations and/or monetary statements for general program administration.
  • Potential to develop initiatives to fulfill program/mission wants and aims.
  • Potential to evaluate and resolve unprecedented issues that require analysis and evaluation of coverage and procedures for this system or assigned elements.
  • Potential to resolve issues or compliance points, primarily based on delegated authority.

Competency Stage Journey
Competency Communication and Advertising and marketing
Competency Description

  • Potential to ascertain and keep productive and collaborative skilled work relationships with purchasers and reply to questions inside coverage and process pointers in assigned space(s).
  • Potential to make use of ideas and language which are simple for others to grasp.
  • Potential to make use of lively listening to guarantee mutual understanding by way of shared info and viewpoints.

Competency Stage ContributingADA GuidelinesADA Guidelines“R” for Uncommon (0-30%), “O” for Occasional (30-60%), “F” for Frequent (60-90%), “C” for Fixed (90-100%) Bodily Effort Hand Motion-Repetitive Motions – F, Finger Dexterity – F, Studying – F, Writing – F, Listening to – F, Speaking – F, Standing – F, Sitting – F, Strolling – F, Lifting-0-30 lbs. – F, Pushing/Pulling – F, Bending, Squatting – F, Reaching – F
Work Atmosphere Inside – CApplicant PaperworkRequired Paperwork * Resume/CV

  • Cowl Letter
  • Checklist of References

Optionally available PaperworkPosting Particular QuestionsRequired fields are indicated with an asterisk (*). * * Please point out the way you realized of this vacant place for which you might be making use of:

  • CAA
  • NCAA Arts
  • ICFAD
  • SECCAC
  • Arts Council of the African Research Affiliation
  • Skilled Job Board
  • InsideHigherEd
  • Social Media
  • Networking
  • UNCGjobsearch web site
  • Different
  • * For those who chosen “Different”, please present the identify of the useful resource right here.

(Open Ended Query) * * Are you eligible to work in america with out sponsorship?

  • Sure
  • No

Anticipated wage: $54874 – 57762 per yr

Location: North Carolina

Job date: Solar, 24 Mar 2024 06:48:39 GMT

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