Coding & Reimbursement Specialist

Extended Job Title
Coding & Reimbursement Specialist

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

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.


Requisition ID
24271BR

Travel Required
None

Major/Essential Functions

• Responsible to audit and code the medical documentation for completion. Select and assign the appropriate level of service CPT, ICD-10-CM, HCPCS and Modifier(s) to the medical specialty documentation for outpatient and inpatient medical coding and billing timely filing.
• Review medical coding claim denials for correction and appeals as assigned by the business
  office, MPIP personnel in Centricity (C-BIZ) module Enterprise Task Manager (ETM) prior to filing deadline.
• MPIP C-BIZ, Enterprise Task Manager (ETM) non coding denial issues are to be returned to
  MPIP for timely refiling.
• Charge data entry daily into C-BIZ for billing.
• All other duties as assigned by department supervisor, Unit Manager, and/or Director

Grant Funded?
No

Minimum Hire Rate
14.48

Pay Basis
Hourly

Schedule Details
M - F; 8a - 5p

Work Location
El Paso

Preferred Qualifications
Experience with coding in an academic teaching setting for medical coding in medical multi-specialties. Proficient
knowledge of medical terminology. Knowledge of Electronic Medical Records (EMR) G.E EMR and Cerner EMR
systems. Knowledge of G.E. Centricity application. Skilled in CPT, ICD 10 and HCPCS coding. Experience with
working and refiling claim denials Ability to use computerized systems, and medical business programs, telephone and
general office equipment. Knowledge of Microsoft Office Suite (Word, Excel, Outlook). Good communications skills to
query physicians and other healthcare providers. Bilingual English and Spanish.

Campus
HSC - El Paso

Department
Ob Gyn Dept Elp Genl

Required Attachments
Professional License or Certification

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 on the Human Resources webpage.

Job Group
Information and Records Clerks

Shift
Day

EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicants race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

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.

Does this position work in a research laboratory?
No

Navy Enlisted Classification Code
HM

Air Force Specialty Code
4A0X1