The University of Minnesota School of Dentistry is seeking a Medical and Dental Coding Specialist to work in our Department of Oral and Maxillofacial Surgery (OMS)!
Medical coding is an integral part of this position, and it will also involve dental coding. This position is a member of the OMS Billing Team,. We rely on each other to make the strongest team possible. Our department supports the mission of the School of Dentistry, which is to advance health through scientific discovery, innovative education, and the highest-quality care for all communities.
The Medical and Dental Coding Specialist be responsibile for coding all patient encounters in the Oral Surgery Department. This will include reviewing the electronic health record (EHR) for each patient encounter; applying the proper ICD-10, CPT, HCPCS, and CDT codes based on the service provided; reviewing the type of insurance on record for accuracy and completion, and submitting medical and dental prior authorizations where required. This position will communicate with the clinic schedulers, OR coordinators, faculty and residents, as well as hospital financial specialists. This position will also educate and train dental students, dental residents, and faculty on coding issues and compliance.
Remote work is not available for this position. All work must be done on-site at the School of Dentistry, which is on the East Bank of the University of Minnesota campus in Minneapolis, Minnesota.
Clinic and OR Coding (70%)
Use Axium (electronic health records or EHR) to review student, resident, and faculty EHR notes for accuracy and completion
Ensure all medical records/charts have been set up to be signed by faculty and have an attestation, if required
Use Epic (electronic health records) to retrieve OR reports and/or inpatient consults
Create Axium charts when required and attached any Epic documentation required for the School of Dentistry to submit and process claims properly
Accurately assign the proper POS
Accurately assign ICD-10, CPT, CDT, and HCPCS codes, for each patient encounter, according to established coding guidelines and AHIMA standards of ethical coding.
Post the appropriate codes and charges to the patient account in Axium and assign to the appropriate insurance
Attach prior authorization reference numbers when required.
Identify and track issues and concerns resulting from EHR review. Ensure issues are resolved.
Notify the proper claims department personnel of any concerns, i.e. work comp, MVA claims
Consult with providers when necessary for reasons of clarifications of coding and compliance Issues.
Prior Authorizations (PA) (20%)
Utilize the check out forms to identify cases that require medical and/or dental prior authorization and submit when required.
Determine medical necessity and communicate the necessity via proper ICD-10 codes and letters of medical necessity
Comply with Insurance company's submission requirements, where to send PA's, and submit records if needed for each insurance company
Track and follow up on all prior authorization request submissions.
Document all communication and encounters with insurance companies in regard to PA requests.
Process authorization decisions properly based on the type of procedure being performed. This will include communication with the clinic and/or OR coordinators, communicating with the patient, communicating with OMS doctors and other doctors involved in the patients care.
Review denials and appeal when require
Serve as resource person for coding and compliance questions for Oral Surgery. Instruct physician and non-physician practitioners (Includes residents, students, and faculty members) on compliance regulations and coding guidelines.
Analyze problem claims identified by the claims department, compare coding with medical and/or dental record documentation and make any appropriate changes.
Answer coding questions from providers and other staff as needed.
Answering phones, triage of calls to OMS from patients, Fairview-University Medical Center, residents, doctors, other providers within U, front desk, and records requests.
Hourly pay range: $17.71 - $23.50.
The University of Minnesota offers a comprehensive benefits package including:
Competitive wages, and paid holidays, vacation, and sick leave
Low cost medical, dental, and pharmacy plans
Health care and dependent daycare flexible spending accounts
Excellent retirement plans with employer match
Disability and employer paid life insurance
Wellbeing program with reduced insurance premiums
Tuition reimbursement opportunities covering 75%-100% of eligible tuition
All required qualifications must be documented on application materials
Required Qualifications ** You must show all of the required qualifications in your application materials. **
High school diploma/GED and two years general accounts transaction experience.
Must be certified as CCS-P (Certified Coding Specialist-Physician based) or CPC (Certified Professional Coder), or enrolled in/graduated from an educational program for medical coding and able to achieve certification within one year of hire date.
CPT, ICD 10-CM and HCPCS Coding systems
Health information and medical record documentation, data integrity and quality
Basic understanding of Medicare/Medicaid billing rules and other Federal Regulations for billing and third party insurer billing policies and contract requirements
Minimum of two years as a practicing outpatient/clinic coder.
Knowledge of Epic
Experience with Medicare, Medicaid and other third party payer reimbursement
Knowledge of State and Federal laws governing billing and coding practices
Excellent written and verbal communication skills
Ability to organize work efforts and follow through on projects independently
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.