University Medical Center of El Paso

Summary Job Summary The Certified Medical Coder accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Minimum Job Requirements Work Experience One year of outpatient coding experience required; may consider internship experience. License/Registration/Certification Certified Professional Coder (CPC); Certified Coding Specialist- Physician based (CCS-P); or Certified Billing & Coding Certification (CBCS) required. Education and Training High school diploma or equivalent required. Associate of Applied Sciences in Medical Billing and Coding degree preferred. Skills Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to analyze and solve problems. Ability to seek out new methods and processes to improve services. Ability to utilize verbal and written communication skills effectively. Knowledge of the CPT coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems.

Summary Job Summary: The Health Information Management Coding Manager is responsible for planning, organizing, managing and controlling the daily operations of the Medical Records Coding Associates- Inpatient and Outpatient. Ensures hospital's medical records are current, legible, and complete and maintained in a secure and confidential manner. Analyzes code assignment for correct coding to achieve optimal and timely reimbursement. Performs duties within approved practices, exercising independent judgement with pre-determined guidelines. Provides quality improvement monitoring to ensure employee compliance with departmental standards and procedures. Identifies problems with processes and seeks to implement solutions. Minimum Job Requirements: Work Experience: Three years of progressive supervisory experience in a Medical Records Department. License/Registration/Certification: RHIA Certification or RHIT certification required. CCS required. Education and Training: Associate's degree in Health Information Technology required. Bachelor's degree in Health Information Management preferred. Skills: Excellent leadership and customer service skills with a team-centered approach. In-depth understanding of medical records systems. Demonstrated knowledge of how to design, champion, and implement continuous improvement initiatives. Advanced knowledge of system and departmental policies and procedures. Thorough knowledge of the legal parameters governing record confidentiality. Excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Effective interpersonal, presentation and project management skills.

Summary Job Description: Responsible for analyzing requirements, design, testing, and implementation of various Electronic Data Interchange (EDI) transactions. Performs day-to-day EDI process functions and operations related to contractual requirements, joint interface plan (JIP) specifications, and HIPAA EDI transaction processing requirements. Ensures deadlines are met and contributes technical expertise with EDI transaction processing framework. Works closely with Director of Information Systems (IS) and with various departments at El Paso First (EPF) for EDI interface development, maintenance, and troubleshooting. Assists with managing projects of various complexities, including implementation of HIPAA transaction sets and other JIP custom interfaces. Required Skills: 1. Highly effective written and oral communication skills. 2. Broad technical skills with an understanding of client/server technology, LAN communications, and a wide variety of hardware, software, and operating systems. 3. Excellent business and system analysis skills. 4. Proficient at documentation and design. 5. Proficient in creative problem solving and strong analytical skills. 6. Ability to handle stressful situations and multiple tasks in a support role. 7. Ability to work in a consultative manner (prior consulting experience a plus) with people from varying disciplines and degrees of technical experience. 8. Must be self-motivated, analytical, a good troubleshooter and goal oriented. 9. Ability to write specifications and requirements. 10. Must demonstrate working knowledge of relational database schemas, project management, development methodologies and programming of Windows applications in a client-server environment. Required Experience: Work Experience Five years of experience in managed care applications of which three years should be working with SQL, creation of DTS packages, Stored Procedures, current Windows platforms, Visual Basic, Globalscape EFT, and Microsoft Access required. Healthcare maintenance organization (HMO) claim systems experience is required. Proven experience in processing Texas Medicaid Joint Interface plan files, use of Microsoft Biztalk, HIPAA transaction code sets, and other EDI batch processing automation tools. Must demonstrate above average proficiency with EDI interface engine tools to troubleshoot, develop, and process files, build datasets, and create managed care applications. Experience with evaluating technology. License/Registration/Certification None. Education and Training Bachelor degree in Information Systems or related field required. QNXT Data Schema, QNXT Connect, and QNXT EDI training required.

Summary Job Summary Responsible for providing support to Clinical Systems. Participates in the evaluation, development and implementation of new systems. Serves as an interdepartmental liaison to ensure effective and efficient utilization of systems. Minimum Job Requirements: Work Experience: Three years of clinical experience required. One year of experience inClinical Documentation Systems, Electronic Medical/Health Records, Clinical Information Systems, and/or CPOE preferred. Education and Training: Bachelors Degree in a Direct Patient Care Clinical Discipline. Nursing Degree highly preferred. (ADN required, preferred BSN/MSN). Skills: 1. Effective written and oral communication skills. 2. Proficient in operation of computerized applications, preferably Clinical and Financial applications. 3. Working knowledge of computer potential, applications as they apply to a clinical environment. 4. Proficient in creative problem-solving and excellent analytical skills.

Summary Job Description: The Certified Coder/Abstractor accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Required Skills: Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to analyze and solve problems. Ability to seek out new methods and processes to improve services. Ability to utilize verbal and written communication skills effectively. Knowledge of the CPT coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems Required Experience: Work Experience: One year of outpatient coding experience required; may consider internships experience. License/Registration/Certification: Certified Professional Coder (CPC) or Certified Coding Specialist- Physician based (CCS-P) required Education and Training: High School diploma or equivalent required.

Summary Job Summary Reviews unbilled reports and evaluates accounts to determine reasons for accounts in unbilled status. Resolves coding issues that does not allow accounts to be billed. Reviews daily reports. Responds to inquiries from internal departments related to resolution of coding or other issues related to bill accounts. Accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Skills 1. Ability to utilize billing /coding and insurance office skills. 2. Ability to work both independently and collaboratively. 3. Good overall knowledge of Health Information Systems practices, procedures and guidelines. 4. Ability to analyze and solve problems. 5. Time management skills, with emphasis on ability to prioritize. 6. Ability to seek out new methods and principles to improve services. 7. Strong verbal and written communication skills. 5. Detailed oriented. 6. Knowledgeable of medical terminology. 8. Strong Customer Service Orientation. 9. Knowledge of computer skills. 10. Ability to multi-task multi-systems. Work Experience One year outpatient billing or coding experience required. License/Registration/Certification None Education and Training High school diploma or equivalent.