... medical records, coding, billing, and documentation practices to ensure adherence to federal and ... Collaborate with Health Information Management (HIM), Coding, CDI, Patient Financial Services ...
... medical records, coding, billing, and documentation practices to ensure adherence to federal and ... Collaborate with Health Information Management (HIM), Coding, CDI, Patient Financial Services ...
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
New
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
New
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
Behavioral Health Biller
Sioux City, IA · On-site
$22/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Quick apply
Behavioral Health Biller
Sioux City, IA · On-site
$22/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Behavioral Health Biller
Sioux City, IA · On-site
$18 - $23.25/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Quick apply
Behavioral Health Biller
Sioux City, IA · On-site
$18 - $23.25/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Behavioral Health Biller
$22 - $28/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Behavioral Health Biller
$22 - $28/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Behavioral Health Biller
Sioux City, IA · On-site
$22 - $28/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
Behavioral Health Biller
Sioux City, IA · On-site
$22 - $28/hr
Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues ... coding errors. Required Qualifications & Skills * Experience: 2+ years of dedicated medical billing ...
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
New
HIM Coder
Hampton, IA · On-site
Health Information Management (HIM) Coder Position: HIM Coder Employment Type: Part-Time (24 hours ... coding, billing, and compliance with healthcare regulations. Key Responsibilities * Review medical ...
New
Coding Payment Resolution Spec
Des Moines, IA · On-site
$18.25 - $23.50/hr
... managed care organization or other health care financial service setting, performing medical claims ... billing/collections. * Possesses expertise in medical terminology, disease processes, patient ...
Coding Payment Resolution Spec
Des Moines, IA · On-site
$18.25 - $23.50/hr
... managed care organization or other health care financial service setting, performing medical claims ... billing/collections. * Possesses expertise in medical terminology, disease processes, patient ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Compliance Risk Auditor
Iowa City, IA · On-site
... to coding and billing activities. The Risk Auditor will be responsible for preparing complex ... A Bachelor's degree in Health Information Management or related field, or an equivalent combination ...
Billing Representative II
Des Moines, IA · On-site
Experience working with CDT/CPT and ICD-10-CM coding related to managed care programs and dental/medical billing requirements. * Experience working with dental/medical insurance contractual ...
Quick apply
Billing Representative II
Des Moines, IA · On-site
Experience working with CDT/CPT and ICD-10-CM coding related to managed care programs and dental/medical billing requirements. * Experience working with dental/medical insurance contractual ...
Profee Coding Consultant - PRN
Des Moines, IA · On-site
$20 - $28/hr
From fulfilling a single patient's request for their medical records to powering the AI revolution ... Communicate professionally with co-workers, management, and hospital staff regarding clinical and ...
Profee Coding Consultant - PRN
Des Moines, IA · On-site
$20 - $28/hr
From fulfilling a single patient's request for their medical records to powering the AI revolution ... Communicate professionally with co-workers, management, and hospital staff regarding clinical and ...
Profee Coding Consultant - Full Time
Des Moines, IA · On-site
$20 - $28/hr
From fulfilling a single patient's request for their medical records to powering the AI revolution ... Communicate professionally with co-workers, management, and hospital staff regarding clinical and ...
Profee Coding Consultant - Full Time
Des Moines, IA · On-site
$20 - $28/hr
From fulfilling a single patient's request for their medical records to powering the AI revolution ... Communicate professionally with co-workers, management, and hospital staff regarding clinical and ...
HIM Manager
Ames, IA · On-site
Direct the medical coding team to ensure accurate and timely assignment of diagnostic and ... codes for billing, reporting, and clinical purposes. Stay current with coding standards and ...
HIM Manager
Ames, IA · On-site
Direct the medical coding team to ensure accurate and timely assignment of diagnostic and ... codes for billing, reporting, and clinical purposes. Stay current with coding standards and ...
HIM Manager
Ames, IA · On-site
Direct the medical coding team to ensure accurate and timely assignment of diagnostic and ... codes for billing, reporting, and clinical purposes. Stay current with coding standards and ...
HIM Manager
Ames, IA · On-site
Direct the medical coding team to ensure accurate and timely assignment of diagnostic and ... codes for billing, reporting, and clinical purposes. Stay current with coding standards and ...
HCC Coding Analyst 1
Nevada, IA · On-site
$28.06 - $44.20/hr
... Effectively manages workload and responsibilities. 7. Develops subject matter expertise. 8. ... Maintains functional knowledge of general medical terminology, medical acronyms, anatomy and ...
HCC Coding Analyst 1
Nevada, IA · On-site
$28.06 - $44.20/hr
... Effectively manages workload and responsibilities. 7. Develops subject matter expertise. 8. ... Maintains functional knowledge of general medical terminology, medical acronyms, anatomy and ...
HCC Coding Analyst 1
Nevada, IA · On-site
$28.06 - $44.20/hr
... Effectively manages workload and responsibilities. 7. Develops subject matter expertise. 8. ... Maintains functional knowledge of general medical terminology, medical acronyms, anatomy and ...
HCC Coding Analyst 1
Nevada, IA · On-site
$28.06 - $44.20/hr
... Effectively manages workload and responsibilities. 7. Develops subject matter expertise. 8. ... Maintains functional knowledge of general medical terminology, medical acronyms, anatomy and ...
Hierarchical Condition Category (HCC) Coding Specialist
Des Moines, IA · On-site
$41.85/hr
Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. EXPERIENCE Required * 3 years HCC coding and/or coding and billing Preferred * 5 years HCC coding ...
Hierarchical Condition Category (HCC) Coding Specialist
Des Moines, IA · On-site
$41.85/hr
Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. EXPERIENCE Required * 3 years HCC coding and/or coding and billing Preferred * 5 years HCC coding ...
Medical Coding Billing Manager information
What is the difference between Medical Coding Billing Manager vs Medical Coding Specialist?
| Aspect | Medical Coding Billing Manager | Medical Coding Specialist |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or CPC-H; management experience | Certifications like CPC, CCS; coding training |
| Work Environment | Supervisory role overseeing teams, administrative tasks | Performing coding duties, reviewing medical records |
| Employer & Industry Usage | Hospitals, clinics, billing companies | Healthcare providers, billing departments |
| Search & Comparison Intent | Understanding managerial roles, career progression | Learning coding responsibilities, skills required |
The Medical Coding Billing Manager oversees coding and billing teams, focusing on management and administrative tasks, while the Medical Coding Specialist performs detailed coding work directly on medical records. Both roles require coding certifications, but the manager's role emphasizes leadership and oversight, whereas the specialist's role centers on accurate coding execution.
How does a medical coding billing manager typically collaborate with other departments in a healthcare organization?
What does a medical coding billing manager do?
How much do medical coding billing managers make?
What are the key skills and qualifications needed to thrive as a medical coding billing manager, and why are they important?
Full-time
Posted 20 days ago
University Of Iowa rating
6.9
Based on 85 frontline employees who took The Breakroom Quiz
459th of 617 rated colleges and universities
Job description
Key Responsibilities:
- Conduct inpatient coding and documentation audits in accordance with organizational policies, CMS regulations, Official Coding Guidelines, and payor requirements.
- Review medical records to validate ICD-10-CM and ICD-10-PCS code assignment, principal diagnosis selection, procedure coding, Present on Admission (POA) indicators, and MS-DRG assignment by ensuring codes are fully supported by documented clinical indicators.
- Evaluate compliance with Medicare, Medicaid, and commercial payor billing requirements.
- Research and interpret coding, billing, and regulatory guidance to support audit findings and recommendations.
- Analyze audit results to identify trends, compliance risks, educational opportunities, and potential overpayment concerns.
- Prepare detailed written audit reports that clearly communicate findings, regulatory support, financial implications, and corrective action recommendations.
- Follow-up with key stakeholders to ensure completion and implementation of corrective actions.
- Assist with compliance investigations involving inpatient coding, billing, and documentation concerns.
- Utilize RAT-STATS to identify random samples and statistical values in extrapolating overpayments.
- Collaborate with Health Information Management (HIM), Coding, CDI, Patient Financial Services, Revenue Integrity, and Compliance teams to address identified issues.
- Conduct audit meetings and education sessions with coding professionals, CDI staff, providers, and leadership regarding audit findings and regulatory requirements.
- Perform professional coding and documentation audits on an as needed basis in accordance with organizational policies, CMS regulations, Official Coding Guidelines, and payor requirements.
- Monitor regulatory updates and changes to coding guidelines, CMS rules, and payor policies affecting inpatient reimbursement and compliance.
- Maintain audit documentation, workpapers, and supporting evidence in accordance with departmental standards.
- Participate in development and maintenance of audit methodologies, policies, procedures, and educational materials.
Required Qualifications:
- A bachelor's degree in health information management or related field, or equivalent combination of education and experience is required.
- Active coding credential such as RHIT, RHIA, CCS, CCS-P, CIC, or CPC through a nationally recognized credentialing body such as AHIMA or AAPC.
- 5 years of inpatient coding experience.
- Extensive knowledge of
- ICD-10-CM and ICD-10-PCS coding
- MS-DRG methodology
- Official Coding Guidelines
- CMS inpatient billing regulations
- Medicare and Medicaid reimbursement requirements
- Clinical documentation requirements
- Strong analytical, investigative, and problem-solving skills.
- Excellent written, verbal, and presentation skills.
- Proficiency with electronic medical records, encoder applications, DRG validation tools, and Microsoft Office applications.
- Demonstrated experience working effectively in a welcoming and respectful workplace environment.
Desired Qualifications:
- Prior inpatient coding audit or compliance audit experience.
- Inpatient coder certification.
- 1-3 years professional coding experience including CPT and HCPCS coding.
- Experience conducting provider or coder education.
- Experience in an academic medical center or teaching hospital environment.
- Knowledge of OIG Work Plan priorities, compliance program requirements, and overpayment investigation processes.
- Experience with statistical sampling methodologies and audit data analysis.
- Familiarity with CDI practices and documentation improvement initiatives.
Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
- Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.
This position is not eligible for University sponsorship for employment authorization now or in the future.
This position is eligible for hybrid work within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
What University Of Iowa employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About University of Iowa
Sourced by ZipRecruiter
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Iowa City, IA, US
Year founded
1847