Requisition Number: S2779
Position Number: 005278
Position Classification Title: University Program Specialist
Functional Title: HIM Coder/Insurance Biller
Position Type: Staff
University Information: Located in North Carolina's third largest city, UNC Greensboro is among the most diverse, learner-centered public research universities in the state, with nearly 18,000 students in eight colleges and schools pursuing more than 150 areas of undergraduate and over 200 areas of graduate study. UNCG continues to be recognized nationally for academic excellence, access, and affordability. UNCG is ranked No. 1 most affordable institution in North Carolina for net cost by the N.Y. Times and No. 1 in North Carolina for social mobility by The Wall Street Journal — helping first-generation and lower-income students find paths to prosperity. Designated an Innovation and Economic Prosperity University by the Association of Public and Land-grant Universities, UNCG is a community-engaged research institution with a portfolio of more than $67M in research and creative activity. The University's 1,100 faculty and 1,700 staff help create an annual economic impact for the Piedmont Triad region in excess of $1B.
Primary Purpose of the Organizational Unit: The mission of Student Health Services is to provide collaborative health care designed to empower students to develop lifelong skills that enhance their physical, psychological, and wellness status in an inclusive and affirming environment.
Student Health Service: Provides student-centered, medical, counseling, and health promotion services which are affordable and accessible. Utilizes a multidisciplinary and collaborative approach to wellness and health care. Provides an environment of inclusion, respect, and appreciation of diversity. Promotes professional excellence, responsiveness, and ethical practice. Is committed to the support of the educational, research, and service missions of the University. Position Summary: Review of medical records of students in insurance plans who receive services at Student Health Services and assigning codes that reflect patient diagnoses, procedures performed, equipment used, etc. to facilitate the billing and reimbursement process. To ensure compliance with correct coding initiatives, fraud and abuse regulations, HIPAA and other regulations. To organize and coordinate office operations, procedures, and resources that facilitate the organization's effectiveness and efficiency. Serve as backup for billing, ensuring claims are processed in a timely manner. To communicate in written and oral form and deliver appropriate information in a professional and respectful manner. Minimum Qualifications: BACHELOR'S DEGREE AND ONE YEAR OF EXPERIENCE RELATED TO THE AREA OF ASSIGNMENT; OR EQUIVALENT COMBINATION OF TRAINING AND EXPERIENCE. ALL DEGREES MUST BE RECEIVED FROM APPROPRIATELY ACCREDITED INSTITUTIONS.
Additional Required Certifications, Licensures, and Certificates: -Certificate in Medical Coding or an Associate's degree in Medical Coding
-Knowledge of HIPAA
Preferred Qualifications: -Health Information and Electronic Health Record experience
-College Health experience
Alternate Option: If no applicants apply who meet the required competency level and training & experience requirements, then management may consider other applicants. Salary would be determined based on competencies, equity, budget, and market considerations.
Special Instructions to Applicants: Applicants holding an Associate degree with at least 3 years of billing/coding experience are encouraged to apply. Applicants are required to upload a list of at least three (3) professional references that includes: Name, Company Name, Type of reference (Professional, Supervisor, Colleague, Academic, or Personal). One (1) of those references will need to be a current or previous supervisor. Email Address Contact Phone Number Recruitment Range: $54,874 - $57,762
Org #-Department: Student Health Services - 44604
Work Hours of Position: 8am-5pm, Monday-Friday
Number of Months per Year: 12
Job Family: Administrative & Managerial
Career Banded Title: University Program Specialist
Open Date: 03/13/2024
Close Date: 04/03/2024
FTE : 1.000
FLSA: Non-Exempt
Key Responsibility: Coding/Billing
Essential Tasks: Creates and oversees administrative functions related to coding and billing in all Student Health Service clinic facilities. Maintains and establishes accounting policies, procedures, operations, and processes, for all client and insurance billing, coding and reporting. Utilizes the electronic health record to assist with the coding/billing process. Collaborates with medical providers when needed, to facilitate the coding/billing process. Ensures compliance with correct coding initiatives, fraud and abuse regulations, HIPAA and other regulations. Key Responsibility: Other Duties
Essential Tasks: Other duties as assigned to assist with the organizational mission of the University. Key Responsibility: Client/Customer Service
Essential Tasks: Provides superb relationships and customer service with internal and external customers. Independently interprets policies and procedures within delegated authority when responding to coding/billing inquiries. Key Responsibility: Problem Solving
Essential Tasks: Works effectively and efficiently to confront and resolve issues in a professional manner. Resolves recurring issues and problems as well as some unique situations. Anticipates problems and develop recommendations for management resolution. Key Responsibility: Information/Records Administration
Essential Tasks: Understands appropriate data collection policies and procedures, filing systems, computer applications, and data management systems and programs. Compiles, assimilates, organizes, and stores printed and electronic information. Reviews, compiles, and analyzes information to prepare reports. Competency: Professional Knowledge
Competency Description: Knowledge of program policies, procedures, technology, best practices and their theoretical bases. Ability to interpret and apply a variety of interrelated policies, procedures, and programs for clients and to address clients' non-routine issues. Knowledge of new theories, trends, laws or precedents demonstrated by recommending and implementing improvements or necessary changes to policies, procedures and/or program(s). Competency Level: Journey
Competency: Program/Project Administration
Competency Description: Ability to administer and/or manage a program with established guidelines and standards in its entirety or to administer several components of a multi-faceted program. Ability to ensure program/project accountability. Ability to define scope, goals, tasks, deliverables, timelines, tools, and resources. Ability to assess the needs of the work unit or project. Ability to determine any gaps, and recommend changes in procedures, workflow and work assignments to improve efficiency and effectiveness in performance of individuals and the work unit as a whole. Ability to develop and monitor program/project databases, schedules and reports. Ability to ensure accuracy of data and compliance with program standards. Ability to perform professional program administrative duties, including technical decisions. Ability to collaborate in the development and completion of grants and contracts. Ability to administer pre- and post-award agreements. Ability to prepare related reports as required. Competency Level: Journey
Competency: Consultation
Competency Description: Ability to advise and collaborate with clients, program participants, and others to resolve difficult issues in assigned program area(s). Ability to identify trends. Ability to recognize the impact of policies, procedures, and laws. Ability to apply knowledge and understanding of program culture, issues, and work relationships to address situations. Ability to share knowledge and critical thinking process. Ability to promote the use of best practices to achieve mutually agreeable outcomes in the resolution of issues. Ability to determine and document a course of action to address complex, ambiguous or unique operational and/or programmatic issues in assigned area(s). Competency Level: Journey
Competency: Information Analysis and Decision-Making & Critical Thinking
Competency Description: Ability to gather, organize, and analyze program information, data, and/or financial information. Ability to review, examine, and prepare documents. Ability to make recommendations based on the results of that information. Ability to identify, recognize, and resolve problems that have established guidelines and precedents. Competency Level: Journey
Competency: Information & Records Administration
Competency Description: Ability to analyze business operations and/or financial statements for overall program administration. Ability to develop initiatives to meet program/project needs and objectives. Ability to assess and resolve unprecedented problems that require research and review of policy and procedures for the program or assigned components. Ability to resolve problems or compliance issues, based on delegated authority. Competency Level: Journey
Competency: Communication and Marketing
Competency Description: Ability to establish and maintain productive and collaborative professional work relationships with clients and respond to questions within policy and procedure guidelines in assigned area(s). Ability to use concepts and language that are easy for others to understand. Ability to use active listening to assure mutual understanding through shared information and viewpoints. Competency Level: Contributing
Physical Effort: Hand Movement-Repetitive Motions - F, Finger Dexterity - F, Reading - F, Writing - F, Hearing - F, Talking - F, Standing - F, Sitting - F, Walking - F, Lifting-0-30 lbs. - F, Pushing/Pulling - F, Bending, Squatting - F, Reaching - F
Work Environment: Inside - C
