Coding & Reimburs Spec

Texas Tech University Health Sciences Center
United States, Texas, Lubbock
3601 4th Street (Show on map)
Feb 18, 2025
Coding & Reimburs Spec Lubbock 40233BR Position Description Abides by the Standards of Ethical Coding as set forth by the American Association of Professional Coders (AAPC) and adheres to official coding guidelines and the Values Based Culture of Texas Tech University Health Sciences Center. 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 provider services to include procedural, diagnosis, and supplies in all places of service. Major/Essential Functions Responsible for reviewing physician documentation and assigning the appropriate ICD-9, ICD-10 & CPT codes for all aspects of the in-patient & out-patient evaluation & management services, surgical procedures and pre-certifications for ENT and Audiology division, as per assigned rotation. Maintains communication and encourages feedback with physicians and billing staff regarding denial corrections, coding inquiries, compliance audits, and other documentation requests to bill for the appropriate physician services. Assists MPIP business office with claim follow-up, discounts and other Patient requests. Assisting patients with account inquiries by explaining benefits and processing account adjustments as deemed necessary. Work through new workflow processes and Data Entry all encounters. Clear through 3M and TES. Analyzing and processing denial corrections in IDX PCS work files for date of injury, medical necessity, diagnoses, non-authorized surgical procedures, incorrect or no referring physician information, modifiers, incorrect procedure codes, and other miscellaneous rejections for the appropriate reimbursement as per assigned quota. Attends Power hour. Answers phones, schedules appointments, consults, pulls consults, schedules hospital D/C, and messages to nursing staff. Sending out notes ENT and Audiology. Helps notify patients of appointments for new patients. Required Qualifications High School graduate or equivalency required. A combination of coding and reimbursement or Medical billing experience, preferably in a physician group or health care institution to equal two years. Must include procedural and diagnosis coding; prefer experience in academic health care setting. OR High School graduate or equivalency required. Current coding certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) Certification to remain current during term of employment To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=885149 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. 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. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx. jeid-c4b0e87b1035fd458f4be0650f995e7a