Sr Billing Compliance Specialist at University of Oklahoma in Tulsa, Oklahoma

Job Description:

Come join the staff at OU HSC and become a part of Oklahoma's premier research university which leads the state in education and career opportunities!

Duties:

• Perform audits for medical documentation, coding and billing to ensure compliance with Federal, State and other payer requirements. 


• Contributes expertise to the development of compliance training to physicians and staff.


• Maintains and supports a culture of compliance, ethics, and integrity. 


• Maintains knowledge of regulatory requirements, external laws as they relate to coding and medical billing.


• Performs analysis of medical records for accuracy of ICD-9 and CPT coding to ensure standards and regulatory compliance for services billed.


• Performs focused audits on identified risk areas.


• Develops reports to communicate audit findings and feedback to physicians and ancillary staff .


• Performs research via electronic and other media to assure understanding of documentation and coding is current and relevant.


• Coordinates educational activities for physicians, ancillary staff , and billing personnel on regulatory issues.


• Presents in-house seminars on regulatory and coding updates to physicians, ancillary staff and department billing staff.


• Performs various duties as needed in order to successfully fulfill the function of the position.

Required Education: Associate's Degree in Health Information Management (HIM), AND:

• 60 months experience in coding and billing in a medical setting.

Equivalent/Substitution: Will accept 24 months experience in abstract coding of professional services in lieu of Associate's Degree for a total of 84 months experience. 

Skills:

• Advanced knowledge of documentation and coding of diagnosis and procedures using ICD-10 and CPT methodology.


• Advanced knowledge of Federal and State regulatory requirements for billing professional services in an academic medical center setting.


• Knowledge of computer spreadsheets, graphs and word documentation.


• Skilled in web-based research for Federal, State and other regulatory body requirements.


• Excellent communication and presentation skills.

Certifications:

• Coding certification by American Health Informa on Management Association (AHIMA) or American Academy of Professional Coders (AAPC).


• Coding certifications are: Registered Health Informa on Administrators (RHIA), Registered Health Informa on Technician (RHIT), Certified Coding Specialist/Physician based (CCS-P), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred.

Advertised Physical Requirements:

• 
  Physical: Sitting for prolonged periods. Communicate effectively and listen. Use of computer and telephone.


• 
  Environmental: Standard Office Environment.

Why You Belong at the University of Oklahoma: The University of Oklahoma fosters an inclusive culture of respect and civility, belonging, and access, which are essential to our collective pursuit of excellence and our determination to change lives. The unique talents, perspectives, and experiences of our community enrich the learning, and working environment at OU, inspiring us to harness our innovation, creativity, and collaboration for the advancement of people everywhere.

Equal Employment Opportunity Statement: The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate based on race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, housing, services in educational programs or activities, and health care services that the University operates or provides.

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