Account Assistant - Coder/Charge Review

Yale University offers exciting opportunities for achievement and growth in New Haven, Connecticut. Conveniently located between Boston and New York, New Haven is the creative capital of Connecticut with cultural resources that include three major museums, a critically-acclaimed repertory theater, state-of-the-art concert hall, and world-renowned schools of Architecture, Art, Drama, and Music.

Position Focus:

Under the direction and supervision of the Manager, YM Coding and Billing, the Coding/Charge Review position provides work queue resolution of medical billing charges by analyzing clinical documentation to code and/or validate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes for Yale Medicine. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Maintains effective workflow processes to assure complete, accurate and timely billing activity and optimal reimbursements.

This opportunity is currently remote (work from home) within CT.

Essential Duties:

1. Serves as a principal source of information on rules and procedures governing University accounts receivable. Oversees and instructs support staff. 2. Oversees maintenance of account files, ensuring accuracy and completeness. Reviews payment histories. 3. Resolves problem and delinquent accounts with supervisor and collection agency. Assists with final review and disposition of problem accounts. 4. Recommends and implements changes to systems and operating procedures. Composes form letters and correspondence used in accounts receivable activities. 5. Researches individual accounts. Summarizes findings in reports. Completes and processes forms. Performs clerical functions incidental to account activity.

Qualifications:

• Experience with an electronic health record and practice management application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars).
• Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines.
• Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education.
• Demonstrated ability to work independently. Organize and prioritize own work with minimal supervision, as well as accepting direction. Ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals.
• General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedure reports and applicable coding guidelines.
• Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics teams and manager.

Yale University considers applicants for employment without regard to, and does not discriminate on the basis of an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Yale discriminate on the basis of sexual orientation or gender identity or expression.