University Job Title
Medical Coding and Billing Assistant 2 **
Bargaining Unit**
L34 - Local 34 (Yale Union Group) **
Time Type**
Full time **
Duration Type**
Regular **
Compensation Grade**
Labor Grade E **
Wage Ranges**
Click here to see our Wage Ranges **
Searchable Job Family**
Administration, Clinical **
Total # of hours to be worked:**
37.5 **
Work Week**
Standard (M-F equal number of hours per day) **
Work Location**
Outside of campus, within Connecticut **
Worksite Address**
221 Whitney Ave
New Haven, CT 06511 **
Work Model**
Remote **
Position Focus**
Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 2 is responsible for all aspects of accurate charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Requires comprehensive knowledge and expertise to exercise independent judgement and decision making on a regular basis with respect to all codes selected; ensure compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines; maintain effective workflow processes to assure complete, accurate and timely billing activity and optimal reimbursements, while maintaining productivity to meet lag day expectations; responsible for recommending coding and billing change procedures to improve processes; review and analyze documented medical services to ensure accurate documentation and coding of all services. This opportunity is currently remote (work from home) within CT.
Required Knowledge, Skills & Abilities: Demonstrated ability to independently utilize and apply critical thinking skills. Comprehensive knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as surgical procedure reports, diagnostic studies, pathology, labs, and others as assigned, within an academic medical setting. Proficiency with electronic health record and practice application systems, electronic data entry and retrieval, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars), Zoom and PowerPoint. Demonstrated ability to independently perform all categories of coding/billing work, including all aspects of surgical coding. Comprehensive knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures and Teaching Physician Guidelines within an academic medical practice. Proven ability to interpret and apply guidelines. Demonstrated ability to train others as well as to assist in QA process across multiple service lines. Demonstrated strong interpersonal, verbal, and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. Demonstrated ability to work independently with a high level of proficiency, accountability, and productivity. Organize and prioritize work with minimal supervision, as well as others as assigned. Ability to work in a fast-paced environment meeting timely deadlines while maintaining high productivity and quality standards. Ability to work effectively as a team member with common goals. **
Essential Duties**
Required Education And Experience
Six years of related work experience, four of them in the same job family at the next lower level, and a high school level education; or four years of related work experience and an Associate degree; or little or no work experience and a Bachelor degree in a related field; or an equivalent combination of experience and education. **
Required Skill/Ability 1**
Demonstrated ability to apply critical thinking skills. Comprehensive knowledge of ICD-10, CPT, HCPCs & modifier coding, medical terminology, human anatomy, & digital coding resources/software. Ability to analyze & interpret evaluation & management documentation guidelines & surgical procedure reports, diagnostic studies, pathology, & labs. **
Required Skill/Ability 2**
Proficiency with electronic health record and practice application systems, electronic data entry and retrieval, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars), Zoom and PowerPoint. **
Required Skill/Ability 3**
Demonstrated ability to independently perform all categories of coding/billing work, including all aspects of surgical coding. Comprehensive knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures and Teaching Physician Guidelines within an academic medical practice. Proven ability to interpret and apply guidelines **
Required Skill/Ability 4**
Demonstrated ability to train others & to assist in QA process across multiple service lines. Demonstrated strong interpersonal, verbal, & written communication skills. Effectively communicate with team members to resolve questions on assignments. Effectively communicate with providers, following escalation processes with analytics team & manager. **
Required Skill/Ability 5**
Ability to work independently with a high level of proficiency, accountability, and productivity. Organize and prioritize work with minimal supervision, as well as others as assigned. Ability to work in a fast-paced environment meeting timely deadlines while maintaining high productivity and quality standards. Ability to work effectively as a team member with common goals. **
Preferred Education, Experience And Skills**
Additional specialty coding credential. **
Physical Requirements**
Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. **
Drug Screen**
No **
Health Screening**
No **
Background Check Requirements**
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. **
COVID-19 Vaccine Requirement**
Required
The University maintains policies pertaining to COVID-19. All faculty, staff, students, and trainees are required to comply with these policies, which may be found here:
https://covid19.yale.edu/health-guidelines **
Posting Disclaimer**
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments. **
EEO Statement**
University policy is committed to affirmative action under law in employment of women, minority group members, individuals with disabilities, and protected veterans. Additionally, in accordance with Yale’s Policy Against Discrimination and Harassment, and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.
Inquiries concerning Yale’s Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). **
Note**
Yale University is a tobacco-free campus
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