Unity Health Care, Inc. is a multi-site non-profit organization offering a continuum of medical care and human services primarily to the medically underserved and homeless. Unity Health Care has grown to be the largest preeminent Health Care Delivery System in Washington, DC. We are looking for individuals who want to help us serve our mission, vision, values.

Please apply with us, if you would like to:

  • Work at a great place with great people.
  • Make an positive impact on the community.
  • Have the opportunity to build a solid career.

Unity Health Care, Inc. is an equal opportunity employer that believes in growing and promoting a diverse workforce. We offer a competitive compensation and benefits package, designed to help employees meet various needs throughout their careers and lives. Our benefits include:

  • Annual Leave
  • Medical, Vision and Dental Insurance
  • 403 B Retirement
  • Life Insurance
  • Short and Long Term Disability
  • Loan Repayment Programs (NHSC, DCPCA-HPLRP)
  • Continuing Medical Education /Professional Development
  • Tuition Reimbursement
  • Employee Assistance Program
  • and more

Unity Health Care, Inc.
Department of Human Resources
1220 12th Street, SE, Suite 120
Washington DC 20009
Main (202) 715-7900
Unity Health Care, Inc. is an Equal Opportunity Employer
Home
Department: Financial Services
Schedule: Full Time
Shift: Days
Hours: 8:30am-5:00pm
Job Details:
  • High School/GED
  • INTRODUCTION          

    The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.  The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

     

    DUTIES AND RESPONSIBILITIES

    ·         Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

    ·         Supports the Senior Medical Billing and Coding Specialist to respond to audit findings and make applicable coding additions or corrections.

    ·         Registers and analyzes claims in the EMR system, including insurance verification and charge entry.  Tracks and requests outstanding claims for assigned departments/facilities

    ·         Reviews Medicare Local Coverage Determination (LCDs) and Medicare bulletin updates.

    ·         Utilizes the EMR system to run required daily/monthly/quarterly reports on claims entered.

    ·         Accepts assignments from management and maintain open communication with their manager to resolve  quality and production issues.

    ·         Evaluates the record for documentation consistency and adequacy.  Ensures that the final diagnosis accurately reflects the care and treatment rendered.  Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.

    ·         Complies with the rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations, and global surgery.

    ·         Efficiently and accurately processes all types of claims utilizing broad based product or system knowledge to ensure timely payments are generated.

    ·         Maintains strict confidentiality regarding confidential conversations, documents, and files.

    ·         Supports the Senior Medical Billing and Coding Specialist to facilitates coding orientation for new providers.

    ·         Ability to read and abstract physician office notes and procedure notes to apply correct ICD-9-CM, CPT,         

    HCPCS Level II and modifier coding assignments.

    ·         Performs other duties as assigned.

     

    QUALIFICATIONS

    • High School diploma or GED required/Associates' degree preferred.
    • Minimum of 3-5 years experience using ICD-9-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions.
    • CPMA, CFPC, CPC-P, or CPC certification is required.

    KNOWLEDGE & EXPERIENCE REQUIRED BY THE POSITION

    ·         Complete knowledge and understanding of UHC PM and EMR workflows.

    ·         Must demonstrate ability to work independently with minimum supervision in a team-oriented environment and interrelate well with individuals with diverse ethnic and cultural backgrounds and needs.

    ·        Advanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

    ·         Excellent oral, written, and telephone communication.

    ·         Working familiarity with the rules and regulation pertaining to the FQHC guidelines.

    ·         Ability to prioritize and manage multiple task with efficiency in dealing with multiple facilities.

    ·         Ability to handle a large volume of project receiving and researching claims.

    ·         Excellent computer skills, including Excel, Microsoft Word, etc.

     

    EOE


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