Job Title Medical Coder and Billing Analyst (4627U) #36911
Job ID 36911
Location Main Campus-Berkeley
At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.
The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world.
We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles, our Principles of Community, and our Strategic Plan.
UC Berkeley's University Health Services (UHS) is a comprehensive college health service providing fully accredited, primary medical care, counseling and psychological services, and innovative health promotion programs for students, faculty, and staff. UHS provides on-campus medical care and coordinates supplemental needs for off-campus care through a network of community specialists and hospitals. UHS manages the student health insurance and workers' compensation insurance programs.
Approximately 65,000 visits occur annually including Primary Care, Urgent Care, Occupational Health and Specialty Clinics. Services are designed to minimize the impact of illness, emotional distress and injury on studies and work. The Social Services (SOS) unit offers short-term counseling, groups, case management and nutrition services to the campus student population. Counseling staff consists of social workers who provide compassionate specialty counseling on a range of specific and highly sensitive topics. Coupled with health promotion and public health programs, UHS reaches all segments of the Berkeley campus community. Learn more about UHS by visiting uhs.berkeley.edu.
Application Review Date
The First Review Date for this job is: 06/16/2022.
Interpret clinical data and medical information to medical coding using ICD-10 CM, CPT Standard, and HCPCS Standard coding systems. Maintain a high level of coding accuracy and timeliness to assure claims are billed in a timely manner. Participate regularly in coding audits of the providers and coding educational sessions with providers.
Assign and sequence all codes for services rendered
Follow up with providers on clarification of documentation.
Report any coding irregularities to the billing supervisor.
Accurately input codes and abstract data into the current Electronic Health Record (EHR) system.
Participate regularly in coding audits and coding educational sessions with providers. Provide feedback and training on annual coding updates.
Conduct audits and coding reviews to ensure all documentation is accurate and precise.
Collaborate with billing department to ensure claims all are satisfied in timely manner.
Contact physicians and other healthcare professionals with questions about diagnosis, treatments or diagnostic tests given to patients with regard to coding accurately and appropriately.
Knowledge of current medical terminology, disease processes, anatomy & physiology and current coding guidelines.
Working knowledge of current EHR system to be able to make updates and changes necessary for the system to be current and compliant.
Review claims in the current EHR system that are stalled in the revenue cycle due to coding issues.
Assist in submission of claims for payment through the current EHR system.
Understand and maintains patient confidentiality and IT security.
Functions as a resource to support staff on issues such billing claims, denial management, escalated customer service problems and vendor concerns as it relates to coding issues. Assist operations to:
Review and resolve any claims that have been on HOLD status to resolve payment or billing issues.
The University of California was chartered in 1868 and its flagship campus - envisioned as a "City of Learning" - was established at Berkeley, on San Francisco Bay. Today the world's premier public university and a wellspring of innovation, UC Berkeley occupies a 1,232 acre campus with a sylvan 178-acre central core. From this home its academic community makes key contributions to the economic and social well-being of the Bay Area, California, and the nation.