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Position Classification Description

Position Class Code / Title: B5008 / Medical Unit Billing Coord
Recruitment Tier: Tier 1
FLSA: Non-Exempt
Grade: 10

This is a description of a Staff Position Classification. It is not an announcement of a position opening. To view descriptions of current openings, please go to UNMJobs and Search Postings to view positions that are currently accepting applications.

The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.

Summary

Oversees the clinical business activities and the medical practice component of a clinical department within the Health Sciences Center. Advises and coordinates implementation of policies, protocols, and systems which improve practice productivity and efficiency to support the enhancement of departmental and physician revenue while complying with State and Federal Guidelines that are subject to compliance review. Coordinates the flow of billing to insure appropriate supporting documentation to maximize billing potential. Works with UNM MG to translate billing data and provide accurate information regarding clinical effort of department providers.

Duties and Responsibilities

  1. Advises and assists faculty physicians with strategic billing and documentation issues, to include new or enhanced billing opportunities, which impact positively on the financial well-being of the department.
  2. Monitors and evaluates the provision of patient services within the practice, to include the appointment system and physician protocols; interacts with and guides clinic managers in the enhancement operating efficiency and improvement of responsiveness to patients.
  3. Coordinates with medical coding analyst to evaluate the departments billing practices to create educational opportunities to insure increased revenue while complying with State and Federal guidelines.
  4. Interacts with UNM MG/UH/IT and department staff regarding implementation of new billing systems and supporting software updates to ensure user compliance and understanding; coordinates teaching and training when necessary.
  5. Gathers, enters, and updates data to maintain departmental records and databases; establishes and maintains files and records for the office.
  6. Composes and prepares written documentation and correspondence for the Medical Director and evaluates incoming and outgoing correspondence and prepares appropriate responses.
  7. Monitors and investigates claim denial issues recommending necessary corrective action plans to prevent recurrence; coordinates with appropriate departments to attempt resubmission within allowable time limits.
  8. Attends practice management, coding and clinical conferences, workshops, and in-house sessions to receive updated information and changes that will impact the department and faculty.
  9. Prepares and distributes periodic and ad hoc statistical reports.
  10. Performs miscellaneous job-related duties as assigned.

Minimum Job Requirements

  • High school diploma or GED; at least 5 years of experience directly related to the duties and responsibilities specified.
  • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Knowledge, Skills and Abilities Required

  • Ability to gather data, analyze information, and prepare reports.
  • Knowledge and understanding of the operating characteristics and procedures of a medical practice.
  • Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures, and documentation.
  • Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
  • Ability to communicate and interact effectively with practicing physicians and clinical management.
  • Skill in the analysis and evaluation of clinical appointment systems and physician protocols.
  • Ability to organize and compile data to illustrate results of billing compliance studies and claims denial analysis.
  • Ability to communicate effectively, verbally and in writing, and to communicate technical information to non-technical personnel.
  • Ability to perform research and to identify potential areas of business opportunity.
  • Ability to work with staff and providers to successfully implement new billing policies and procedures in any clinical setting.

Working Conditions and Physical Effort

The University of New Mexico provides all training required by OSHA to ensure employee safety.

Revised Date: 03/20/2017