Sr Coding & Reimburs Spec at Texas Tech University Health Sciences Center in Lubbock, Texas

Job Description:

Extended Job Title

Sr Coding & Reimburs Spec

Org Level 1

Texas Tech Univ Health Sciences Ctr

Org Level 7

544031 - SOM Training Program Ode

Position Description

Reviews official medical records with physician/healthcare provider documentation and assigns appropriate codes for all physician/healthcare provider services from current editions of official coding sources. Ensures accurate, complete, and timely code assignments for all physician/healthcare providers.

Requisition ID

38356BR

Travel Required

Up to 25%

Pay Grade Maximum

37.88

Major/Essential Functions

Review and analyze medical records and documents to assign appropriate ICD-10-CM, CPT, and HCPCS codes.Ensure codes are assigned in compliance with regulatory guidelines, TTUHSC policies, and industry standards. Accurately code diagnoses, procedures, and services provided during hospital inpatient and outpatient visits. Prepare and submit claims to insurance companies and other payers using IDX and Cerner Patient Accounting System. Ensure timely and accurate billing for services rendered.Follow up on unpaid claims and resolve billing discrepancies promptly. Collaborate with TTUHSC SOM PB providers to clarify diagnoses and procedures to ensure accurate coding. Conduct regular reviews of medical records for completeness and accuracy. Identify and report documentation deficiencies to the appropriate clinical staff. Stay updated with coding guidelines, payer requirements, and regulations from CMS, AMA, and other relevant authorities. Participate in regular coding audits and reviews to ensure compliance and accuracy. Address and resolve coding and billing discrepancies and denials promptly. Enter and maintain accurate coding and billing data in the TTUHSC SOM-PB Cerner electronic health record (EHR) system. Ensure timely and accurate submission of coded data for billing and reporting purposes. Generate reports and summaries of coded data as required. Participate in ongoing education and training to maintain coding certification and enhance coding and billing skills. Attend departmental meetings, workshops, and seminars to stay informed about changes in coding and billing practices and regulations. Contribute to process improvement initiatives to enhance coding and billing accuracy and efficiency.

Grant Funded?

No

Pay Grade Minimum

16.89

Pay Basis

Hourly

Schedule Details

M-F 8 am - 5 pm

Work Location

Odessa

Preferred Qualifications

Associate's degree in health information management, Medical Coding, or a related field preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. Certification in medical billing is a plus. Minimum of 2 years of medical coding and billing experience in an inpatient/outpatient setting.Experience in ICD-10-CM, CPT, and HCPCS coding. Experience with EHR systems and coding/billing software. 

Campus

HSC - Permian Basin

Department

SOM Training Program Ode

Required Attachments

Professional License or Certification, Resume / CV

Job Type

Full Time

Pay Statement

Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website.

Job Group

Information and Records Clerks

Shift

Day

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications

High School graduate or equivalency and three years of coding and reimbursement experience, preferably in a physician group, hospital, or academic health care setting. Knowledge of the CPT, ICD-CM, ICD-10, and HCPCS nomenclature. Current coding certification from the American Associate of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). 

Does this position work in a research laboratory?

No

Navy Enlisted Classification Code

HM

Air Force Specialty Code

4A0X1

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website.