Job Description

Responsible for the daily operations, planning, organizing, staffing, directing, and controlling all functions of the Coding, Auditing and Compliance programs.

Responsibilities

• Manages coding education by preparing and completing materials for internal and external audits, regulatory changes, and other changes in medical advancements.
• Produces clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services.
• Manages, oversees, and monitors the audit process for the coding and billing operations.
• Conducts charge review and compliance audits of departments, and conducts training of personnel to ensure accurate and timely coding.
• Directs, supports, and educates the physicians and other professional and support staff to ensure quality and consistency of ICD-10, CPT, and documentation guidelines.
• Oversees accurate billing of charges to Medicare, Medicaid, and other third party payers according to insurance regulations and guidelines of each state where business is conducted.
• Develops and maintains systems to insure efficient work flow and compliance to ensure data quality resulting in optimum reimbursement allowable under the federal and state payment systems.
• Develops, implements and monitors policies and procedures, guidelines, and coding compliance plan for personnel in order to ensure compliance.
• Provides direct supervision over the coding staff to ensure the timeliness and accuracy of coding and data collection activities.
• Performs all other duties as assigned.

Qualifications

Education: Bachelors degree is required.

• Demonstrated ability to teach and present educational topics required.
• Strong knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and Electronic Medical Records (EMR) system.
• Ability to apply judgment and making informed decisions.
• Proven ability to manage a multitude of responsibilities while meeting objectives and working with teams.
• Strong written, verbal and interpersonal communication skills.
• Strong leadership skills.
• Strong organization and time management skills.
• Detail-oriented.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.