Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The University of Miami/UHealth Department of Health Information Management has an exciting opportunity for a full-time Professional Coder 3 to work in Miami, FL. Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients. A Professional Coder 3 at the University of Miami is responsible for reviewing the clinical documentation contained in the UHealth patient health records (regardless of medium in which the patient documentation is maintained) to validate the codes assigned by physicians. Abstract and or validates as necessary, abstract E&M, and Procedure codes for surgical specialties, Dermatology, Interventional Radiology and/or Interventional Cardiology, Neurosurgery, Ophthalmology, Orthopedics, Trauma and Transplant, and other specialties that are predominantly invasive codes for medical specialties including Ancillary, Non-Surgical and Surgical services. Has a thorough understanding of ICD-10-CM diagnosis, CPT with E&M and procedural codes used in reimbursement and data collection. CORE JOB FUNCTIONS Identifies incomplete documentation and seeks clarification from the responsible physician. Identifies misplaced or potentially conflicting documentation and reports findings to appropriate party for action. Verifies patient information to identify any documentation and/or report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient’s account/encounter. While reviewing the record for coding validation purposes, serves as quality reviewer of scanned documents. Identifies mis-scans: poorly scanned documents, and misplaced documentation; promptly reports findings to the Professional Coding Manager Assesses documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for services provided to ensure the organization receives its entitled reimbursement for care provided. Collaborates with others in the organization including medical staff and other clinicians to ensure the record accurately documents the services provided and to identify documentation trends that can prospectively address deficiencies. When necessary, accurately assign and sequences ICD-10-CM diagnosis and/or CPT E&M and procedural codes to professional encounters. Adheres to University and unit-level policies and procedures and safeguards University assets. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with university policies and procedures. Ensures employees are trained in controls within the function and on university policy and procedures. Department Specific Functions The Ancillary, Non-Surgical and Surgical Coder 3: follows all functional area standard operating procedures. Achieves and maintains quality expectations of 95% accuracy for both coding and abstracting and productivity expectations for encounters. Reviews assigned coder workqueue and follows standard process of opening the charge session, reviewing edits, clearing edits by checking documentation associated in the chart for those identified services, and reviews the notes (i.e., documentation for that date of service). Demonstrate knowledge of modifiers and application of appropriate modifier if needed (i.e.,24,25,57) If there is missing documentation, follow Deficiency standard operating procedure. Validate charge session and assign date/name confirming ownership of charge review. Ensures all encounters are coded/validated within 5 days of service date (or other benchmark set by Department) by collaborating with physicians and mid-level staff. Meets coding validation/charge entry productivity expectations established by the department. Routinely volunteer to assist others when his/her work is completed. Converts the documented clinical information into applicable diagnostic and procedure codes. Codes and abstracts medical records to provide information for financial reimbursement, meaningful use, state and federal registries, and strategic planning data collection purposes. Educates physicians and other clinicians on documentation issues and coding idiosyncrasies. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities, as necessary. CORE QUALIFICATIONS High school diploma and an equivalent of 5 years of professional coding experience. Minimum 5 years of relevant experience Certified Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Office (CCS-P) or Registered Health Information Technician (RHIT) Certified Coding Associate (CCA), Certified Professional Coder (CPC; CPC-A), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Office (CCS-P) Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA). Supports the philosophy, objectives, and goals of UHealth and the Health Information Management department by volunteering in various capacities without compromising performance expectations. Demonstrates knowledge of and compliance with the UHealth Compliance Program, Policies and Procedures, and Safety Policies and Procedures. Abides by standards of the American Health Information Management Association’s professional and ethical conduct. Contributes to the efficiency of the UHealth Health Information Management Remains current with continuing education requirements to maintain credentials. Demonstrates ability to work independently and/or in a collaborative environment. Displays efficient and effective communication skills (interpersonal, verbal, and written). Demonstrate critical thinking, organizational, and analytical skills, as well as the ability to interpret, assess, and evaluate provider documentation. Proficient with arenaflex Office applications. Ability to sit for extended periods of time. Capable of working in a 100% remote environment with minimal supervision, while also staying focused on assigned tasks. Any relevant education, certifications and/or work experience may be considered. #LI-NN1 The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Apply tot his job