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Summary
- Title: Coder, UMCP
- Department: UMCP Centralized Billing and Coding
Description
UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies.
This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality, compliance, and integrity. The coder collaborates with providers, clinic staff, coworkers, and revenue cycle teams to promote complete documentation, resolve coding and billing issues, and support accurate and timely insurance claim processing. The ideal candidate is detail-oriented, committed to continuous learning, and dedicated to delivering exceptional service to the providers and clinics we support.
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Availability Requirements
- Ability to work 40 hours per week
- 8AM-5PM Monday – Friday
- Ability to work occasional evenings and weekends, as needed, to support end-of-month and end-of-quarter deadlines
Our Mission: To improve the quality of life for our community by providing the best patient experience for every patient.
Our Vision: To be the best place to work and the best place to receive healthcare.
- Benefits: UMC Physicians offers a comprehensive benefits package to eligible full-time employees. Benefits include:
- Paid Time Off
- Sick Pay
- Medical, Dental and Vision Insurance
- Employer Paid Group Life and Voluntary Life Insurance
- Short Term Disability Insurance
- Long Term Disability (after 2 years of employment)
- Critical Illness, Accident and Cancer Insurance
- Health Care and Dependent Care Spending Accounts
- 401K Retirement Plan with Company Match
- Employee Assistance Program
- Note: Some benefits require an employee contribution to participate.
Essential Job Functions
- Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for professional outpatient and inpatient services
- Review medical record documentation to ensure coding accuracy, completeness, and compliance with applicable guidelines and payer requirements
- Research and resolve coding edits, denials, and documentation-related issues
- Collaborate with providers, clinic staff, revenue cycle teams, and patients to resolve coding, billing, documentation, and patient concerns
- Meet established productivity, quality, and turnaround time standards
- Participate in coding audits, education, and other departmental initiatives
- Prepare reports and complete special projects as requested
- Perform other duties as assigned
Additional Responsibilities
Additional duties as assigned.
Knowledge, Skills, & Abilities
- Medical operations and personnel skills
- Strong attention to detail, organizational, and problem-solving skills
- Proficiency in coding and billing systems with a preference in Epic
- Clear understanding of coding and medical terminology
- Ability to maintain confidentiality and comply with HIPAA regulations
Minimum Qualifications
- High school diploma
- Active CPC Certification
- Extensive CPT, HCPCS and ICD-10 knowledge
- 3 years+ experience in coding
Environmental Conditions
Works in a well-lit, heated, and ventilated building. Hours may vary to accommodate needs in the department. Exposure to blood borne pathogens is low risk.
Physical Requirements
This position requires prolonged sitting. It also requires hand-eye coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Normal range of hearing and eyesight to record, prepare and communicate appropriate reports is expected. Hours of duty may be irregular.
Limitations and Disclaimer
- The above job description is meant to describe the general nature of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.
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UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Request for accommodations in the hire process should be directed to UMC Human Resources.*
