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Reimbursement /Coding Specialist
Category: Education
  • Your pay will be discussed at your interview

Job code: lhw-e0-90668646

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University of South Alabama

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
  2 Views, 0 Applications  
Reimbursement /Coding Specialist
Reimbursement /Coding Specialist


Business Office Admin MC, AL

Job Type

Regular Full-time


USA Medical Center

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About Us

The University of South Alabama Health System helps people lead longer, better lives through its excellence in education, research and medical care. With more than 3,600 employees, USA's health network includes USA Medical Center, USA Children's & Women's Hospital, USA Mitchell Cancer Institute, USA Physicians Group and the USA College of Medicine. Each year, our team of 180 physicians, 240 residents and fellows, 70 advanced practitioners and 800 nurses handle some 185,000 clinic visits and 350,000 outpatient procedures. The USA Health System delivers 2,800 babies a year, more than any other regional hospital, and treats patients through some 60,000 emergency room visits annually.

In addition to advanced and innovative patient care offered at University hospitals and clinics, USA's medical education programs provide first-class training experiences for the next generation of physicians and scientists. The USA Health System delivers excellence in care while improving the quality of life for residents across the Gulf Coast.

The USA Health System is managed by the USA HealthCare Management, LLC.

Essential Functions

Assists in coordinating and maintaining the professional reimbursement program for Oncology to ensure compliance with current payments, rules, and legislative regulations that impact the physician's billing and collections process; monitors and ensures compliance with Medicare and Medicaid documentation guidelines for oncology service; monitors and evaluates current reimbursement/payment rules and ensures legislative and regulatory changes impacting oncology are implemented appropriately in radiation and medical oncology; communicates to the clinical faculty, staff and departmental billing personnel changes impacting billing; assists physicians in determining appropriate use of codes for maximizing reimbursement of physician's service; develops techniques for effective analyses of billing collection efforts; ensures compliance with Medicare and insurance carriers guidelines related to documentation, coding and medical necessity; analyzes and develops systems related to billing, collecting and reporting of professional and medical services to ensure recovery of all professional and technical oncology charges; trains new personnel in appropriate oncology charge capture and charge entry; provides reimbursement patterns and trend analyses to manager and physicians; provides on-going in-service training for oncology billing personnel as well as clinical faculty including training of new physician in coding (CPT, ICD9-CM); assists in resolving third party denials received by Billing and Collection Department and assists with reimbursement appeals and problems; prepares reports and analyzes to include financial reports, setting forth progress, adverse trends and appropriate recommendations or conclusions; participates in meetings with subordinates to ensure compliance with established practices, to new polices and to keep employees aware of changes and current standards; develops physician billing forms and examination forms for physician use; regular and prompt attendance; ability to work schedule as defined and additional hours as required; related duties as required.

Minimum Requirements

High school diploma or equivalent, four years of medical coding experience, and certification as a Certified Professional Coder

Working Days and Hours

Monday - Friday

8:00 a.m - 5:00 p.m

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