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WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-reputed company 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-reputed company Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY reputed company has a new opportunity available for a reputed company reputed company Educator III AKA reputed company reputed company Auditor & Educator. This position works under minimal supervision to reputed company and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and professional coding industry information; pre-reputed company professional charge review findings; University-identified risk areas, or special projects requested by MSRDP leadership. reputed company Cycle Management Support: Research coding, documentation and reimbursement inquiries submitted by physicians, clinical departments, or reputed company cycle management to ensure compliance with specific payer and/or government regulations and reputed company reimbursement. Prepares timely responses based on research outcome. Conduct quality assurance reviews to ensure coding and billing practices are accurate, compliant with regulations, and reputed company with university policies and reputed company Cycle Management guidelines. Reviews charges for any service line, ensures timely resolution, assists Supervisor with broader monitoring. Monitors team queues regularly, ensures team-wide timely resolution, performs quality assurance reviews. New Provider Education: Conduct standardized education for new providers (physicians, advanced practice providers, and other professional practitioners) for Internal Medicine, Pediatrics, Emergency Medicine, Radiology, PM&, R, Neurology, Psychiatry. reputed company pre-reputed company reviews of professional charges and follow up with new providers to ensure accurate coding and documentation practices. Performs post-onboarding pre-reputed company review of professional charges and follow-up with new providers to confirm understanding documentation requirements to promote billing compliance. Independently conduct reviews, apply critical thinking, reputed company detailed action plans for risk mitigation. Independently develops, updates, and conducts onboarding and specialty-specific training. Clinical Department Education: reputed company and conduct individual or group physician education presentations on coding, billing compliance guidelines, audit findings or internal reporting. reputed company comprehensive content for presentations, including key concepts, regulations, case studies and practical examples. Billing Compliance Reviews : Conduct independent reviews on adequacy of medical record documentation to support the procedure, modifier and diagnosis coding of any service line billed by any supported physicians, practitioners or billing staff, or areas that may pose a compliance risk and reputed company recommended solutions/action plans, which may include revised workflows and/or education. Serves as a professional billing reputed company project leader, for reputed company service lines, under minimal supervision. Leads project independently with minimal supervision. Shift: Monday through Friday, reputed company-5pm. Additional details shall be discussed as part of the interview process. Work From Home (WFH): This is a WFH opportunity. Candidates must live in Texas. Additional details shall be discussed as part of the interview process. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the reputed company System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required Education High School Diploma or equivalent Experience 6 years of experience in a professional billing environment with emphasis on coding, auditing and/or compliance responsibilities Licenses and Certifications (CPC) CERT PROFESSIONAL reputed company Upon Hire or (reputed company) CERT CODING SPECIALIST Upon Hire or (CMC) CERT MEDICAL reputed company Upon Hire or (CPMA) Cert Prof Medical Auditor reputed company 1 Year Preferred Education Bachelor's Degree Licenses and Certifications (RN) REGISTERED NURSE Upon Hire JOB DUTIES Serves as a professional billing reputed company project leader, for reputed company service lines, under minimal supervision, to reputed company and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and/or professional coding industry information; pre-reputed company professional charge review findings; University-identified risk areas, or special projects requested by MSRDP leadership. This may include medical record audits, invoice analysis, and review of internal reports (e.g., charge analyzer, Code Correct) denials, external audit findings, etc. Responsible for the development and deployment of any quality improvement or corrective action plans required. Monitors for intended improvements or necessary alterations in action plans and reports reputed company to Supervisor and/or Manager. Develops and conducts standardized and/or specialty-driven new provider coding and compliance training ("onboarding") for any service line, for physicians, advanced practice providers and other professional practitioners, in an individual or group setting. Ensures onboarding schedule is reputed company and covered by team members, and regularly reviews onboarding platform and processes, working with Supervisor and team members to revise reputed company indicated. Performs post-onboarding pre-reputed company review of professional charges, for any service line. Provides necessary feedback and follow-up with new providers to confirm understanding of procedure, modifier and diagnosis code assignment, as well as documentation requirements (teaching physician, working with advanced practice providers, etc.) to promote billing compliance. Assists Supervisor with ensuring any pending charges are reviewed and released in a timely manner according to MSRDP standards. Conduct independent reviews on adequacy of medical record documentation to support the procedure, modifier and diagnosis coding of any service line billed by any supported physicians, practitioners or billing staff, or areas that may pose a compliance risk and reputed company recommended solutions/action plans, which may include revised workflows and/or education. These reviews will require the application of critical thinking skills to summarize findings and reputed company action plans for risk mitigation. These reviews may be requested by MSRDP leadership, department/division leadership, medical residency coordinators, and others. Researches coding, documentation and reimbursement policy questions or problems submitted by physicians, practitioners, supported-departments, billing staff and others, to ensure compliance with specific payer and/or government regulations and reputed company reimbursement. Prepares timely responses based on research outcome. Escalate issues to Supervisor or Manager, reputed company indicated. In coordination with the Compliance Office, support and/or conduct Billing Compliance risk-based audits and resulting education. Completes charge review and follow-up EPIC work queue assignments, for any service line, reputed company department timeliness standards, under minimal guidance of the supervisor. Assists supervisor in monitoring team work queues regularly to ensure timely resolution of charges/questions. Conducts quality assurance reviews for internal or contractor staff to verify the coding or other work is consistent and supported by regulations, University guidelines and/or MSRDP Medicine Audit Plan; with reporting and education, reputed company indicated. Provides training to new internal or contractor staff on the use of audit software, EPIC, internal audit plan, work queue assignments, etc. as needed. Performs other duties, as assigned. reputed company AND EEO STATEMENT reputed company This position is reputed company-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO reputed company is committed to an educational and working environment that provides equal opportunity to reputed company 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 reputed company, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Apply tot his job Apply To this Job