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Coding and Reimbursement Specialist

Howard University

The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. Hiring staff “for fit” makes significant contributions to Howard University’s overall mission.

BASIC FUNCTION:

The Certified Medical Coder is responsible to review, analyze and code procedural information that determines Medicare, Medicaid and private insurance payments.

The Certified Professional Coder ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

PRINCIPAL ACCOUNTABILITIES:

  • Assures the final diagnoses and operative procedures as stated by the providers are valid and complete.
  • Analyzes medical records for completeness and validity of documentation and contacts providers for clarification for any incomplete/ambiguous or conflicting documentation.
  • Code charges for assigned all departments such as Internal Medicine, Surgery, Anesthesia, Ophthalmology, OB/GYN, Pulmonary.
  • Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10-CM, CPT, and HCPCS codes Translates written policy interpretation into ICD-10-CM, CPT and HCPCS put into systems.
  • Translates Legislative Mandates into ICD-10-CM, CPT and HCPCS codes for input into systems Collaborate with providers in assigned areas and provide feedback to management regarding documentation issues or reoccurring errors.
  • Utilize software applications and information systems to perform tasks related to patient encounters and/or services.

MINIMUM REQUIREMENTS:

  • Recognized certifications as Certified Professional Medical Auditor (CPMA); Certified Professional Coder (CPC), Certified Coder Specialist - Physician (CCS-P) Completion of a formal coding program + coding certification may be considered in lieu of prior professional coding experience.
  • A background in a medical environment and extensive knowledge of medical terminology are needed.
  • An understanding of Federal and State rules and regulations as they relate to physician billing is preferred.

COVID - 19 Vaccination Information:

All newly hired faculty, staff and student employees are required to vaccinate and to have proof of vaccination(s) upon their first day of employment. Please familiarize yourself with the University’s COVID-19 vaccination requirements and verification policy. 

Exemption and Waiver Information:

Medical and religious exemptions from vaccinations will be granted in accordance with federal and local law. Employees must request an exemption by completing the COVID-19 vaccination exemption request form. 

More information on Howard University’s COVID-19 response and protocol can be found here.

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