Classification Title: Program Representative
1
Appointment Type: Classified Staff
Job Location: Various Locations
Benefits
Eligible: Full-Time, benefits eligible
Remote or Hybrid option?: Yes
Employment
Category: Regular
Job Summary
This recruitment will be used to fill one full-time Program
Representative 1: Medical Coder position for the Student Health Services at Oregon State University (OSU).
This is a fully remote
position.
Student Health Services provides health care services and health education to the students of Oregon State
University. Under the direction of the Revenue Cycle Manager this position supports the daily administrative operations of SHS and works
with confidential and time-sensitive information involving student health information. This is a completely remote position where the person
in this role will work independently from a remote location with support supplied by SHS.
The Program Representative 1 is charged
with ensuring claims are coded correctly and troubleshooting claims errors to confirm the accuracy of the billing records which comply with
the claims, coding and coverage requirements of each insurance company or agency. The Medical Coder is responsible for reviewing clinical
documentation and accurately assigning appropriate diagnosis using the International Classification of Diseases version 10 (ICD-10), and
procedure codes using Current Procedural Terminology (CPT) with use of CPT Level 1 modifiers and Healthcare Common Procedure Coding System
(HCPCS)completing coding for services provided at Oregon State Student Health Center. This position will conduct periodic training of
physicians and licensed medical staff to ensure appropriate coding practices are used, as well as developing training curriculum for use by
the medical staff. This position ensures compliance with federal, state, and payer regulations while supporting timely and accurate billing,
reimbursement, and reporting.
This position ensures that chargeable procedures and services are recorded accurately and in a timely
fashion, to satisfactorily complete the coding of services rendered. The incumbent is responsible for responding to questions regarding
insurance company programs and requirements by phone, in person and emails. This position provides expertise in, and acts as an educator for
multiple insurance billing requirements to the clinicians and providers regarding the unique programs the students may be utilizing. This
work is done on the phone, in virtual meetings or by email. The position responds to numerous questions from clinicians and providers
regarding federal coding requirements utilizing ICD-10, CPT codes and HCPCS.
The employee in this position will engage regularly with
staff members in the Administrative Services office, SHS staff and clinicians, clients, patients, and students on behalf of Student Health
Services. The employee in this position will assist with the determination of appropriate and correct billing, problem resolution and
corrective action(s) required to successfully complete the reimbursement of covered services and comply with the billing requirements of the
agencies and insurance programs. The position requires a high degree of ability to interpret current guidelines, regulations and rules in
order to ensure proper compliance with State/Federal and correct coding requirements.
This position responds to questions and
provides information and assistance to patients, Student Health services staff, and the university community, which requires the exercise of
responsible judgment, tact, efficiency, and the ability to work under pressure. The individual in this position must be able to prioritize
their time according to the work and multiple deadlines. They must be able to re-direct themselves as situations change and act proactively
in solving or referring patient problems and complaints.
Why OSU?
Working for Oregon State
University is so much more than a job!
Oregon State University is a dynamic community of dreamers, doers, problem-solvers
and change-makers. We don’t wait for challenges to present themselves – we seek them out and take them on. We welcome students, faculty and
staff from every background and perspective into a community where everyone feels seen and heard. We have deep-rooted mindfulness for the
natural world and all who depend on it, and together, we apply knowledge, tools and skills to build a better future for
all.
FACTS:
* Top 1.4% university in the world
* More research funding than all public
universities in Oregon combined
* 1 of 3 land, sea, space and sun grant universities in the U.S.
* 2 campuses, 11
colleges, 12 experiment stations, and Extension programs in all 36 counties
* 7 cultural resource centers that offer
education, celebration and belonging for everyone
* 100+ undergraduate degree programs, 80+ graduate degrees plus hundreds of
minor options and certificates
* 35k+ students including more than 2.3k international students and 10k students of color
*
217k+ alumni worldwide
* For more interesting facts about OSU visit: https://oregonstate.edu/about
Locations:
Oregon
State has a statewide presence with campuses in Corvallis and Bend, the OSU Portland Center and the Hatfield Marine Science Center on the
Pacific Coast in Newport.
Oregon State’s beautiful, historic and state-of-the-art main campus is located in one of America’s best
college towns. Corvallis is located close to the Pacific Ocean, the Cascade mountains and Oregon wine country. Nestled in the heart of the
Willamette Valley, this beautiful city offers miles of mountain biking and hiking trails, a river perfect for boating or kayaking and an
eclectic downtown featuring local cuisine, popular events and performances.
Total Rewards Package:
Oregon
State University offers a comprehensive benefits
package with benefits eligible positions that is designed to meet the needs of employees and their families including:
*
Medical, Dental, Vision and Basic Life. OSU pays 95% of premiums for you and your eligible dependents.
* Free
confidential mental health and emotional support services, and counseling resources.
* Retirement savings paid by the
university.
* A generous paid leave package, including holidays, vacation and sick leave.
* Tuition reduction
benefits for you or your qualifying dependents at OSU or the additional six Oregon Public Universities.
* Robust Work Life
programs including Dual Career assistance resources, flexible work arrangements, a Family Resource Center, Affinity Groups and an Employee
Assistance Program.
* Optional lifestyle benefits such as pet, accident, and critical illness insurance, giving you peace of
mind and the support you need to thrive in all aspects of your life.
Future and current OSU employees can use the Benefits Calculator to learn more about
the full value of the benefits provided at OSU.
Key Responsibilities
50% COMPLIANCE, INTERPRETATION
OF POLICY, CODING
- Compliance, Interpretation of Policy, and Coding requirements of local, statewide, and federal
guidelines - Review encounters received for all pertinent information: patient information, insurance, information, ICD-10, CPT,
HCPCs. - Analyze and ensures accuracy of information within the billing system and monitoring of claims submission, review, and
correct claims for adjudication. - Review and correct CPT, HCPCs and diagnostic coding of patient services within the health
center. - Review and comprehend information on narratives, chart notes, lab reports and summaries in the medical record as well as
make judgement determinations for the most accurate compliance regulations and current codes are being used for the services provided to
ensure accurate insurance reimbursement. - Decide appropriate action needed to resolve denials from insurance companies.
- Verify documentation supports billed services and query providers when clarification is needed.
- Abstract clinical data for
billing, reporting and quality assurance purposes. - Collaborate with providers, billing staff and administrative personnel to
resolve coding discrepancies. - Assist with coding audits and implement corrective actions as needed.
- Participate in
training and educational initiatives for clinical staff regarding documentation best practices. - Addresses insurance related
inquiries posed by students
30% ACCOUNTS RECEIVABLE AND BILLING
- Perform various collection actions
including, but not limited to insurance and student payments, correction, and resubmitting of claims to third party payers. - Routine
follow up of claims submitted to OSU sponsored insurance plans as well as CCARE, and Athletic third-party billing to see if claims are
accepted and/or denied. - Process payments from insurance companies and prepare a daily deposit or assigns task as needed.
- Prepare claims submissions for Domestic, International Student Insurance plans, and Graduate plan.
- Record information in EMR
and Excel spreadsheets regarding billing information.
10% ADMINISTRATIVE SERVICES
- Serve students who
request bills and make payments, exhibiting at all times a strong customer service orientation. - Assist the Insurance Liaison in
answering insurance questions. - Assist in the resolution of student complaints related to the billing or coding.
- Assist in
Oregon CCare Office qualifying applicants and program enrollment when the CCare office staff is absent. Also assist with program
billing. - Provide back-up assistance for other SHS staff members in order to provide consistent service in times of absences.
- Access student and financial information.
- Contact with outside insurance companies and providers as necessary to answer
questions regarding claim denials, reductions, and other questions. These answers are relayed to the plan holders and clinicians.
5% PUBLIC RELATIONS
- Respond to information requests regarding Student Health Service programs, policies, and
services. - Answer questions from students, staff, and insurance companies.
- Identify and resolve patient billing
complaints. - Enlist the help of or routes the public to other Student Health Services departments to answer inquiries as
indicated. - Travel and occasional overnight stays may be required to attend seminars necessary to obtain recent updates and changes
regarding insurance billing requirements.
5% OTHER DUTIES AS ASSIGNED
- Other duties as assigned by Revenue
Cycle Manager.
What We Require
Two years of technical or professional-level experience advising and/or
instructing the public concerning specific programs or processes, monitoring programs, or performing participant
reviews.
What You Will Need
- Knowledge of medical billing/business office procedures in a human healthcare
environment using electronic medical record (EMR). - Experience working with and strong knowledge of medical coding including CPT,
Level 1 HCPC’s and ICD 10 coding. - Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent
credential. - Understanding of HIPAA regulations and healthcare compliance standards
- Excellent oral, written and
interpersonal communication skills. - Demonstrated experience with and/or commitment to working effectively with individuals from
diverse backgrounds, in support of an inclusive and welcoming environment - Be able to work independently without daily
oversight.
This position is designated as a critical or security-sensitive position; therefore, the incumbent must successfully
complete a criminal history check and be determined to be position qualified as per University Standard: 05-010 et seq. Incumbents are
required to self-report convictions and those in youth programs may have additional criminal history checks every 24
months.
What We Would Like You to Have
- 3 years of experience working with and knowledge of medical coding
including CPT, Level 1 HCPC’s and ICD 10 codes. - Experience in college or university health care services.
- Experience with
preventive care, primary care, women’s health, mental health, and GAC medical coding. - Knowledge of student insurance plans and
third-party payer requirements. - Experience that includes entering, compiling, reporting and auditing information/data to ensure
regulatory compliance. - Organizational skills with the ability to meet deadlines.
Working Conditions / Work
Schedule
Working schedule for this position will be 40 hours per week. This will be a completely remote position where the
person in this role will work independently from a remote location with support supplied by Student Health Services.
Pay
Method: Hourly
Pay Period: 16th – 15th of the following month
Pay Date: Last
working day of the month
Min Salary: $23.88
Max Salary: $36.36
Link to
Position Description: https://jobs.oregonstate.edu/position_descriptions/179263
Number of Vacancies:
1
Anticipated Appointment Begin Date: 07/01/2026
Closing Date:
05/15/2026
Indicate how you intend to recruit for this search
Competitive / External – open to ALL qualified
applicants
Special Instructions to Applicants
Applications will be reviewed based on the information
submitted on the employment profile with education and work history along with any other requested documentation i.e. posting specific
question responses, transcripts, etc. Your profile MUST clearly show how you meet the minimum/required qualifications for the
position. Resumes are NOT accepted at the application stage for this position. Cover letters are optional for this position and
will not be used for evaluating your qualifications.
Equivalent required experience is based on full-time equivalent (40 hours per
week).
PLEASE NOTE: If you have volunteer experience relevant to this position, please include in the Employment
History section and note length of time, average number of hours per week and major duties.
Typically, the starting salary is at the
lower end of the salary range.
For additional information please contact:
Robin Prososki
Robin.prososki@oregonstate.edu
541-737-4184
We are an Equal Opportunity Employer,
including disability, protected veteran, and other protected status.
OSU will conduct a review of the National Sex Offender Public
website prior to hire.
OSU is a fair chance employer committed to inclusive hiring. We encourage applications from candidates who
bring a wide range of lived experience including involvement with the justice system. This job has “critical or security-sensitive”
responsibilities. If you are selected as a finalist, your initial job offer will be contingent upon the results of a job-related
pre-employment check (such as a background check, motor vehicle history check, sexual misconduct reference check, etc.). Background check
results do not automatically disqualify a candidate. Take a look at our Background Checks website including the for candidates section for more details. If you have questions or
concerns about the pre-employment check, please contact OSU’s Employee and Labor Relations team at employee.relations@oregonstate.edu.
The Certified
Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential may be uploaded as License or Certification
1. The online application system will allow you to attach your license/certification if the PDF file is 9MB or less. If over 9MB in size,
submit to contact person listed. The license and/or certification must be received by the closing date if not uploaded with your
application.
