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Clinical Coder I

Summary

Inputs abstracted Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) coding into the electronic medical record system for practicing clinical faculty physicians (College of Medicine).

Examples of Work

Job functions are specific duties that would be included in the essential functions of the job description. These functions are not all-inclusive nor do they cover the full extent of the duties performed.

  • Responsible for charge data entry into the electronic medical record system while ensuring clean claim submission to include working any edits that may generate and appear in the charge review work queue.
  • Once validated by a certified coder, performs charge data entry for areas that still produce paper billing.
  • Responsible for resolving any charge review edits that are related to registration, insurance and authorizations.
  • Reports any issues back to supervisor regarding billing and coding edits that are generated during charge entry.
  • Responsible for performing reconciliation on all charge data entry batches.
  • Responsible for responding to the University of Florida Physicians’ billing group regarding documentation requests submitted through the Claim Edit work queue and follow up work queue.
  • May research coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.

Education and Experience

High school diploma or equivalent.

Licensure and Certification

None

Supervision

None

To see common career pathways for each position at the University of Florida please visit the Career Paths section of the UFHR website.