Yale University
Medical Coding and Billing Assistant 1
New Haven, Connecticut, 06511 · Principal · Contract
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About the role
- Working at Yale means contributing to a better tomorrow.
- Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines.
- May review and analyze documented medical services to verify accurate documentation and coding of services performed.
Responsibilities
- Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations.
- May perform manual charge entry for non-Epic services.
- Draws valid conclusions to support decisions.
Requirements
- Required Skills and Abilities 1.
- Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars).
- May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA.
Compensation
- Must maintain certification through annual education requirements and achieve CPC status within 2 years.
Benefits
- General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software.
- Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites.
- Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures.
- Preferred Education, Experience and Skills Previous Epic experience; experience within an academic medical environment or large multi-specialty practice; CPC certification preferred.
- Ensures compliance with Teaching Physician guidelines within an academic medical practice.
- May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures.
This listing is sourced directly from Yale University's careers page and normalized into a canonical job model.