WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to ” target=”_blank”>Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
- Experience
3 years three to five (3-5) year’s acute hospital-based Coding and/or CDI experience or
An equivalent combination of education and experience may be considered
Denials and Appeals experience in an acute Hospital setting and
Experience working in a remote environment
- Licenses and Certifications
(RHIA) REGD HEALTH INFO ADMINIST or
(RHIT) REGD HEALTH INFO TECHNOLO or
(CCS) CERT CODING SPECIALIST or
(CCDS) Cert Clinical Documentation or
(CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
Preferred
- Experience
RN with CDI experience
JOB DUTIES
- Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG.
- Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols.
- Identify coding and/or documentation trends for root causes of denials.
- Identify and communicate DRG changes and financial impact.
- Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst.
- Identify front-end activities that influence denial/appeals process.
- Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
- Maintains an expert level of knowledge of Coding/CDI guidelines and practices.
- Other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.