Coding Technician

Coding Technician

Colorado State University | Fort Collins, CO, 80523, US
Salary Range:$27,000 – $32,000 Salary range estimated by Zippia

Posted 2 days ago

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Description

Posting Detail Information

Working Title Coding Technician

Position Location Fort Collins, CO 80523

Does this position qualify for hybrid or remote work? No

Classification Title Medical Records Tech II

Posting Number 202300028P

Position Type State Classified

Open Date 01/19/2023

Close Date 02/02/2023

Salary $4,092 - $4,501

Employee Benefits

Colorado State University ( CSU ) and the State of Colorado are committed to providing employees with a strong and competitive benefits package that supports you, your health, and your family. Visit CSU's Human Resources website for detailed benefit plan information for permanent full-time and part-time classified employees in the following University benefit areas: https://hr.colostate.edu/hr-community-and-supervisors/benefits/benefits-eligibility/ (%20https://hr.colostate.edu/hr-community-and-supervisors/benefits/benefits-eligibility/) and https://hr.colostate.edu/prospective-employees/our-perks/.

Full/Part Time Full-time

State Classified Hourly No

Overtime Eligible

Description of Work Unit

Billing and Coding

The Billing and Coding department at the CSU Health Network provides the service of accurately coding and billing clinic charges to commercial insurance companies. The department acts as the liaison between student/parents and their insurance company to decipher contracting status and claim payment disputes. Our department follows the status of payments to ensure insurance companies are paying in a timely and accurate manner. The Billing and Coding department provides services between the hours of 8:00 am - 5:00 pm Monday-Friday, providing attractive work schedules for staff.

CSU Health Network

The CSU Health Network ( CSUHN ) at Colorado State University provides a full range of cost-effective mental health and primary care medical services on campus, referral for community specialty care, and comprehensive health education and prevention services programming. Services such as physical therapy, dentistry, and optometry are available. The CSU Health Network is active in creating a healthy campus environment to support learning and success. For more information about the CSU Health Network at Colorado State University, see http://www.health.colostate.edu.

Why work at Colorado State University?

Commitment to Campus

Colorado State University's Commitment to Campus encompasses a wide range of programs, discounts, and special benefits available to CSU faculty and staff. Here are just a few...

+ FREE credit courses (up to 9-semester credits per year) through Employee Study Privilege

+ FREE growth/training/development opportunities

+ FREE MAX transit use with CSU identifications

+ FREE GED Preparation and Training

+ After-school programs and summer camps for kids

+ Tuition Scholarships up to 50% for eligible family members

For more detail about these and other Commitment to Campus programs, visit: https://commitmenttocampus.colostate.edu/.

Retirement Programs

While employees of CSU do not contribute to Social Security, the University and the state of Colorado offer competitive retirement plans. As a condition of employment and required by Colorado law, employees are required to participate in either the University's Defined Contribution Plan ( DCP ) or the Public Employee's Retirement Plan ( PERA ) of Colorado. Each plan offers a generous employer match between 10% - 21%. For more information, visit: https://hr.colostate.edu/prospective-employees/our-perks/.

Top Public Research University

Colorado State University is one of the nation's top public research universities and an institution on the rise. In the last decade, CSU has produced record enrollment, built on all-time highs in student diversity and student success; record fundraising far outpacing ambitious goals; groundbreaking research driven by a highly productive faculty; a campus revitalized by a transformational building campaign; and, perhaps most important, an unrivaled learning environment where nine of 10 recent graduates say they would choose CSU again and rate their education as excellent.

CSU was recently ranked first among Colorado-based educational employers and fifth among all in-state employers in Forbes magazine's "America's Best Employers by State!"

Campus Culture and Principles of Community

Colorado State University has a campus culture that is driven by a desire always to do better and a vision to be the best place to learn, work, and discover. Our Principles of Community - Inclusion, Integrity, Respect, Service, and Social Justice - reflect our core values and support CSU's mission and vision of access, research, teaching, service, and engagement. Each member of our community has a responsibility to uphold these principles when engaging with one another and acting on behalf of the University.

Tobacco and Smoke-Free

Colorado State University is a tobacco and smoke-free campus. For the health of our university community, the use of smoking, vaping or tobacco products is prohibited on CSU grounds or in buildings.

Live in Fort Collins

Fort Collins, which has been home to CSU since the University's inception in 1870, is a vibrant, friendly city of 161,000 tucked against the foothills of the Rocky Mountains in Northern Colorado, just 60 miles from Denver. The city boasts a lively arts and cultural scene, shopping in historic Old Town, a strong economy, and is a haven for outdoor enthusiasts. With more than 200 miles of bike paths and trails, easy access to the scenic Poudre River and majestic Rocky Mountain National Park, and within easy driving distance of Colorado's iconic ski areas, it is a year-round paradise. Boasting a mild climate, thriving high-tech industry, and some of the best microbreweries in the world, it's no wonder Fort Collins annually ranks among the most livable small cities in the United States.

Position Summary

The Coding Technician serves as advisor and consultant to all medical and ancillary staff on clinical coding including the proper assignment of codes for clinical, insurance and reimbursement, regulatory compliance and reporting functions. The position works directly with the medical record to evaluate medical coding to prepare for accurate billing and to ensure clinical staff are staying within the standards of appropriate documentation.

The position will assist in the development, presentation, and provision of education to clinical staff on all pertinent coding systems. The position is responsible for working with outside companies, including third party administrators ( TPA ), clearing house, insurance companies, regulatory bodies, as well as internal Health Network departments to enable proper coding and insurance interactions.

*This position is not eligible to be fully remote.

Minimum Qualifications

Certification

+ Coding Certification through AHIMA or AAPC .

Please note, to meet this requirement you must submit a copy of your certification in the documents section of this application.

Experience

+ Two years of experience working as a medical coder in an outpatient or family practice medical environment (outpatient mental health, orthopedics, optometry, women and gender, immunizations and physical therapy).

+ One year of experience working with insurance coding and billing using ICD10, CPT -4, HCPCS , and/or DSM -5.

+ One year of experience medical auditing for professional fee services.

Substitutions

No substitutions

Preferred Qualifications

The highly desired candidate will possess the following knowledge, skills, abilities, personal characteristics, and experience directly related and critical to this position:

Education

+ Associates degree in Health Information Management

Experience

+ Four years of experience working as a medical coder in an outpatient or family practice medical environment (outpatient mental health, orthopedics, optometry, women and gender, immunizations, laboratory and physical therapy)

+ Four years of experience working with insurance coding and billing using ICD10-CM/ ICD -9-CM, CPT -4, HCPCS , and DSM -5

+ Two years experience auditing professional fee services, including medical and or psychiatry

+ Experience with the electronic health record ( EHR )

+ Experience with managing a Chargemaster (non-facility)

+ CDI experience

+ Working knowledge of Microsoft Office Suite or related software, and similar computer applications

Knowledge, Skills, Abilities and Other Characteristics

+ Knowledge and experience working with diverse populations

+ Knowledge of applying insurance contracts

+ Strong listening, verbal, and written communications skills

+ Strong decision making and problem solving skills

+ Organizational skills with the ability to meet deadlines

+ Ability to complete continuous education to keep abreast of new developments in coding updates/ technology/ research/ regulatory data

+ Ability to create training curriculum and facilitate training for medical providers, clinical and business staff

+ Ability to adjust to changing priorities and work load volume

+ Ability to maintain confidentiality of patient information in accordance with HIPAA ; CSU Health Network policies; Colorado State University; state and federal regulations

+ Ability to analyze policies, programs, and initiatives to make recommendations for quality improvement

+ A personal or professional commitment to diversity, equity, and inclusion through active planning and purposeful effort

+ Strong attention to detail

+ Proficiency in using Microsoft Office Suite, including Excel

+ Proficiency in using billing/coding software applications

Essential Job Duties

Job Duty Category Clinical Coding

Duty/Responsibility

+ Ensures the proper utilization and assignment of coding for clinical documentation, insurance and reimbursement, regulatory compliance, and reporting functions after review of the medical record

+ Provides information and feedback on coding related software edits, denial issues, reimbursement trends, and billing and coding errors to pertinent departments/individuals

+ Release medical records to insurance companies upon request of coding review or the need for reimbursement by the insurance company.

+ Other duties as requested by Manager

Percentage Of Time 30%

Job Duty Category Auditing

Duty/Responsibility

+ Completes, analyzes and reports on clinical provider audits used to assess the proper use of diagnosis and procedure codes, correct clinical documentation, insurance and reimbursement, regulatory compliance and reporting functions

+ Other duties as requested by Manager

Percentage Of Time 10%

Job Duty Category Collaboration with Business Services Staff

Duty/Responsibility

+ Interacts with billing and insurance departments regarding insurance carrier payment denials and recommends appropriate resolution

+ Performs other duties as requested by Manager

Percentage Of Time 10%

Job Duty Category Clinical Education and Training

Duty/Responsibility

+ Assists with education plans, presents training program, and provides education to clinical departments regarding coding, including CPT , HCPCS , ICD10, DSM , revenue codes and modifiers, and their compliant use

+ Performs other duties as requested by Manager

Percentage Of Time 10%

Job Duty Category Reporting and Trending

Duty/Responsibility

+ Develops, generates, and evaluates reports, dashboards, and benchmarks for trending

+ Participates in quality improvement initiatives to enhance the quality of position processes and programs

+ Performs other duties as requested by Manager

Percentage Of Time 5%

Job Duty Category Collaboration with Third Party Vendors

Duty/Responsibility

+ Coordinates coding details/requirements between TPA , Clearing House, insurance companies to ensure information flow is accurate and timely

+ Performs other duties as requested by Manager

Percentage Of Time 5%

Job Duty Category Regulatory

Duty/Responsibility

+ Analyzes and communicates changes from external regulatory bodies to identify/ substantiate diagnoses, procedures, and modifiers that support services coded/billed

+ Identifies and reports compliance issues

+ Performs other duties as requested by Manager

Percentage Of Time 10%

Job Duty Category Chargemaster Management

Duty/Responsibility

+ Updates, corrects and manages the CPT procedure code files to ensure they reflect current codes and accurate pricing

+ Updates and corrects ICD -10-CM file to ensure accuracy in diagnosis coding

+ Performs other duties as requested by Manager

Percentage Of Time 5%

Job Duty Category Payment reporting

Duty/Responsibility

+ Utilizes Excel spreadsheets to log/report electronic, credit card, or paper check insurance payments to our accounting department..

+ Runs credit card insurance payments.

+ Processes and scans paper check payments to designated pharmacy or commercial payment files.

+ Downloads Explanation of Benefits from multiple websites to designated pharmacy or commercial payment files.

+ Scans paper denials and zero payments to designated posting files.

+ Downloads electronic zero payments to designated pharmacy or commercial files.

Percentage Of Time 15%

Application Details

Special Instructions to Applicants

APPLICATION INSTRUCTIONS AND INFORMATION

+ Clearly document job duties you have performed that relate to minimum qualifications, preferred qualifications, and essential job duties in the Work Experience section on the application. Human Resources must be able to evaluate your experience based on this information.

+ Clearly outline dates of employment and hours worked per week for each employment experience listed in the Work Experience section of the Application so that Human Resources can calculate full-time work experience. Please note: Part-time experience will be calculated to determine the full-time equivalent.

+ The Work Experience is the only document that will be utilized to determine if minimum qualifications, as outlined in the job posting, have been met. The Application is considered to be the legal document on file; resumes will not be reviewed for minimum qualification requirements.

INCOMPLETE APPLICATIONS

+ If an Application is considered "Incomplete", the Application will be removed from consideration for the position.

+ An Application is incomplete if no current/ previous employment is included in the Work Experience section of the Application.

+ An Application is incomplete if "see resume" (or something similar) is noted, or previous employment does not contain job duties for every position in the Work Experience section of the Application.

+ Positions requiring a degree or if using education as a substitution for work experience (e.g.: Associate or Bachelor's) transcripts are required in order to verify receipt of the required degree or coursework. If official or unofficial transcripts are not supplied at the time of application, the Application is incomplete.

RESUMES

+ When a resume is listed as a required document, it may be used in the comparative analysis/ evaluation process to determine the candidates that most closely meet the qualifications of the position. This process occurs after an application has passed the minimum qualifications screening.

Resumes will not be accepted in place of a completed application; however, some positions may still require a resume as a component for complete application materials.

+ Please see the Required Documents section of the posting.

NOTES

+ Appointment to the vacancy or vacancies represented by this announcement is expected to be from the eligible list created. However, at the discretion of the appointing authority, the position(s) may be filled by another method of appointment for a valid articulated business reason.

+ The selection process for State Classified positions may include an exam(s) and interview(s) which require candidates to physically appear (at the CSU campus in Fort Collins, CO) at the candidates' own expense.

+ All status updates for this position will be sent via email from human.resources@colostate.edu, OR the Employment Consultant facilitating the search process. In addition to your Inbox, remember to check the Deleted and Junk folders for these important communications.

+ Pertinent updates to your Application status can be obtained by logging into your application account at https://jobs.colostate.edu

+ The successful candidate must be legally authorized to work in the U.S. at the time of application.

Equity, Diversity, and Inclusion at Colorado State University

The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

Colorado State University is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require a reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our Human Resources - Employment Office, at hr_service_center@mail.colostate.edu or call (970) 491- MyHR(6947).

DEPARTMENT CONTACT INFORMATION

+ Please check the Help link online at https://jobs.colostate.edu/help/ for assistance on your application or for answers to Frequently Asked Questions.

+ All other inquiries should be directed to the Colorado State University Human Resources Office (970) 491- MyHR(6947).

Conditions of Employment Pre-employment Criminal Background Check (required for new hires), Special Requirements/Other - Health Network follows CDC guidelines for Employee Health in a healthcare setting, including proof of vaccinations. Employees must show proof of compliance/willingness to comply by start date.

EEO Statement

Colorado State University is committed to providing an environment that is free from discrimination and harassment based on race, age, creed, color, religion, national origin or ancestry, sex, gender, disability, veteran status, genetic information, sexual orientation, gender identity/expression, or pregnancy in its employment, programs, services and activities, and admissions, and, in certain circumstances, marriage to a co-worker. The University will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Colorado State University is an equal opportunity and equal access institution and affirmative action employer fully committed to achieving a diverse workforce and complies with all Federal and Colorado State laws, regulations, and executive orders regarding non-discrimination and affirmative action. The Office of Equal Opportunity (https://oeo.colostate.edu/) is located in 101 Student Services.

The Title IX Coordinator is the Director of the Office of Title IX Programs and Gender Equity, 123 Student Services Building, Fort Collins, CO 80523-0160, (970) 491-1715, titleix@colostate.edu.

The Section 504 and ADA Coordinator is the Director of the Office of Equal Opportunity, 101 Student Services Building, Fort Collins, CO 80523-0160, (970) 491-5836, oeo@colostate.edu.

The Coordinator for any other forms of misconduct prohibited by the University's Policy on Discrimination and Harassment is the Vice President for Equity, Equal Opportunity and Title IX, 101 Student Services Building, Fort Collins, Co. 80523-0160, (970) 491-5836, oeo@colostate.edu.

Any person may report sex discrimination under Title IX to the Office of Civil Rights, Department of Education (https://www2.ed.gov/about/offices/list/ocr/docs/howto.html) .

Background Check Policy Statement

Colorado State University strives to provide a safe study, work, and living environment for its faculty, staff, volunteers and students. To support this environment and comply with applicable laws and regulations, CSU conducts background checks for the finalist before a final offer. The type of background check conducted varies by position and can include, but is not limited to, criminal history, sex offender registry, motor vehicle history, financial history, and/or education verification. Background checks will also be conducted when required by law or contract and when, in the discretion of the University, it is reasonable and prudent to do so.

Employment and Appeal Rights

If you receive notice that you have been eliminated from consideration for the position, you may protest the action by filing an appeal with the State Personnel Board/State Personnel Director within 10 days from the date you receive notice of the elimination. Also, if you wish to challenge the selection and comparative analysis process, you may file an appeal with the State Personnel Board/State Personnel Director within 10 days from the receipt of notice or knowledge of the action you are challenging.

Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at www.colorado.gov/spb.

A standard appeal form is available at: www.colorado.gov/spb. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within 10 days of your receipt of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038. Phone: 303-866-3300. The ten-day deadline and these appeal procedures also apply to all charges of discrimination.

Supplemental Questions

Required fields are indicated with an asterisk (*).

+ * Are you willing and able to submit to a pre-employment Federal background check?

+ Yes

+ No

+ * CSU Health Network Policy follows Centers for Disease Control and Prevention (CDC) guidelines for Employee Health in a healthcare setting, including proof of vaccinations. All employees must show proof of compliance with these recommendations or be willing to become up-to-date with vaccinations. Do you understand this requirement?

+ Yes

+ No

Applicant Documents

Required Documents

+ Resume

+ Cover Letter

+ License/Certification

Optional Documents

+ Veteran DD214 Form (Member-4) (For State Classified searches ONLY)