Provider Education and Audit Specialist

Job Posting Title:

Provider Education and Audit Specialist, Revenue Cycle, UT Health Austin

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Hiring Department:

Dell Medical School

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Position Open To:

All Applicants

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Weekly Scheduled Hours:

40

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FLSA Status:

Non-Exempt

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Earliest Start Date:

Jul 01, 2024

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Position Duration:

Expected to Continue

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Location:

UT MAIN CAMPUS

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Job Details:

General Notes

This position will primarily work on a remote basis but will need to be available to conduct presentations, training sessions, and workshops on site in Austin, Texas. The candidate must be local to Austin and surrounding areas.

Purpose

As a Provider Education and Audit Specialist, you will play a crucial role in ensuring accurate and compliant coding practices within our organization. Your responsibilities will encompass educating healthcare providers on coding guidelines and best practices, as well as conducting regular audits to assess coding accuracy and compliance with regulatory requirements.

Responsibilities

• Develop and deliver educational programs and materials to healthcare providers on coding principles, guidelines, and updates. Conduct training sessions and workshops to enhance providers' understanding and application of coding standards.
• Plan and execute annual audits of coding practices across departments by identifying areas of improvement and provide feedback to providers and relevant stakeholders based on audit findings. Maintain comprehensive records of audit results, compliance issues, and corrective actions taken. Prepare reports and presentations summarizing audit findings, trends, and recommendations for improvement using current audit software.
• Collaborate with revenue cycle management to ensure coding practices align with organizational policies and regulatory standards and complete other related functions as assigned. Stay updated on changes in coding regulations and industry standards to ensure educational materials and audit processes remain current and effective. Serve as a resource and point of contact for coding-related inquiries and issues from providers and internal stakeholders.
• Foster collaborative relationships with clinical staff, billing specialists, and administrative personnel to promote accurate and compliant coding practices.
• Perform other related duties as assigned.

Required Qualifications

Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist (CCS) through AHIMA credential. Proven experience in medical coding, auditing, or coding education within a healthcare setting. Strong knowledge of ICD-10, CPT, HCPCS, and other coding systems and guidelines. Excellent communication skills with the ability to convey complex coding concepts effectively. Detail-oriented with strong analytical and problem-solving abilities. Ability to work independently and collaboratively in a fast-paced environment.

Relevant education and experience may be substituted as appropriate.

Preferred Qualifications

Previous coding/auditing experience in a large multi-specialty academic practice. Previous coding/auditing experience in an Ambulatory Surgical Center (ASC). Experience with MD Audit. Experience with Athena.

Salary Range

$65,000+ depending on qualifications

Working Conditions

• May work around standard office conditions
• Repetitive use of a keyboard at a workstation
• Use of manual dexterity

Required Materials

• Resume/CV
• 3 work references with their contact information; at least one reference should be from a supervisor
• Letter of interest

Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.

Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

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Employment Eligibility:

Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.

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Retirement Plan Eligibility:

The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

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Background Checks:

A criminal history background check will be required for finalist(s) under consideration for this position.

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Equal Opportunity Employer:

The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

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Pay Transparency:

The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

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Employment Eligibility Verification:

If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.

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E-Verify:

The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:

• E-Verify Poster (English) [PDF]
• E-Verify Poster (Spanish) [PDF]
• Right To Work Poster (English) [PDF]
• Right To Work Poster (Spanish) [PDF]

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Compliance:

Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.

The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.