Medical Coding/Billing Specialist

🕒 January 2

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Logo of University of Wyoming

University of Wyoming

1001 - 5000 employees

Founded 1886

📚 Education

🏛️ Government

Education • Government

University of Wyoming is a public land-grant research university located in Laramie, Wyoming. It offers undergraduate, graduate and online degree programs across a wide range of disciplines, supports R1-level research, and provides student services, campus life, extension and outreach programs for the state. UW emphasizes affordability, student success, and engagement with local communities and industries while maintaining active research, arts, and athletics programs.

📋 Description

• Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines. • Perform tasks related to provider services to include edit reviews and claim resolution. • Audit information about procedures performed and diagnosis on charge. • Provide coding and documentation education for clinical staff. • Responsible for Athena worklists applied to medical necessity and/or coding denials. • Complete coding assignments following coding and reimbursement guidelines. • Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers and accuracy according to payer policies and regulatory requirements. • Review and enter charges based on documentation in the record. • Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing. • Resubmit claims as a daily task. • Submit claims to the patient’s secondary insurance (including the primary carrier’s EOB) after receiving the correct payment from the primary carrier. • File UB-94 and HCFA 1500 claim forms to insurance.

🎯 Requirements

• Education: High School/GED • Experience: 2 years related experience in healthcare setting • Required licensure, certification, registration or other requirements: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) • Desired Qualifications: Experience with billing in a Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC) • Work independently and confidently to accomplish daily tasks • Experience with interpreting Explanation of Benefits (EOB)s • Demonstrate ability to meet and maintain department productivity and quality standards • Demonstrate ability to accurately code medical records for evaluation and management services, ancillary services, diagnoses for insurance purposes. • Demonstrate experience with medical coding and modifiers. • Demonstrate ability to communicate effectively both verbally and in writing. • Demonstrate proficiency with computer skills necessary to complete job duties and must have strong knowledge of computerized billing system in EMR as well as Microsoft Office products: Word, Excel, Teams.

🏖️ Benefits

• Generous Retirement Contributions: The State contributes 14.94% of your gross salary, and you contribute 3.68%, totaling 18.62% toward your retirement plan. • Exceptional Health & Prescription Coverage: Enjoy access to medical, dental, and vision insurance with competitive employer contributions, that include 4 deductible options to suit your needs. • Paid Time Off: Benefit from ample vacation, sick leave, paid holidays, and paid winter closure. • Tuition Waiver: Employees and eligible dependents can take advantage of tuition waivers, supporting continuous education and professional growth. • Wellness and Employee Assistance Programs: Stay healthy with wellness initiatives, counseling services, and mental health resources.

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