Revenue Integrity Educator II

Join to apply for the Revenue Integrity Educator II role at UT Southwestern Medical Center
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With over 75 years of excellence in Dallas‑Fort Worth, 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‑Fort 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!

This position works under minimal supervision to develop and conduct individual or group presentations on coding, billing, and compliance topics. The duties for this position will include but are not limited to the following:

• Conduct standardized new provider coding and compliance training (onboarding) for physicians, advanced practice providers, and other professional practitioners across multiple service lines/divisions. Training may be conducted in an individual or group setting.
• Perform post‑onboarding pre‑bill review of professional charges and follow‑up with new providers to confirm understanding of procedure, modifier and diagnosis code assignment, as well as documentation requirements to promote billing compliance.
• Conduct increasingly independent reviews on adequacy of medical record documentation to support the procedure, modifier and diagnosis coding of evaluation and management (E&M) services and low‑moderate complexity diagnostic/therapeutic services billed by physicians, practitioners or billing staff across multiple service areas. Work with the Senior Billing Integrity Educator or Supervisor to develop reports that summarize outcomes and provide input on recommended corrective action plans.
• Research 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. Assist Senior Billing Integrity Educator and/or supervisor with responses and escalations beyond their scope to higher authorities.
• In coordination with the Compliance Office, support and/or conduct billing compliance risk‑based audits.
• Complete charge review and follow‑up EPIC work queue assignments, within department timeliness standards, under guidance of the Senior Billing Integrity Educator or supervisor. Assist with quality assurance reviews for internal or contractor staff to verify coding or other work is consistent with regulations, university guidelines and/or MSRDP medicine audit plan.
• Assist with training for contractor staff on the use of audit software, EPIC, internal audit plan, work queue assignments, etc. as needed.
• Perform other duties, as assigned.

• Shift: Monday through Friday, 8 am‑5 pm (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).

• 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 Teacher Retirement 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!

• High School Diploma or equivalent, or
• 5 years of experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilities, or
• Certifications:
  
  CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CMC (Certified Medical Coder)

• Associate’s Degree or two years of college is desired.
• Certification: CPMA (Certified Professional Medical Auditor) upon hire.

Security
This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all 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 origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.