Lead Coding & Reimbursement Specialist (Medical Coding)

Extended Job Title
Lead Coding & Reimbursement Specialist (Medical Coding)

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. Develops formalized training programs for physician and staff in regards to coding and reimbursement.

Requisition ID
30209BR

Optional Attachments
Professional License/Certification, Transcript

Travel Required
Up to 25%

Major/Essential Functions

• Audit to select the appropriate CPT, ICD-10-CM and HCPCS E/M level of service, procedural and diagnosis codes for physician services resulting in appropriate reimbursement.
• Report any findings of incorrect coding issues as they arise. Research to resolve the issues and report to the department Unit Manager and or Director, or TTUHSC Compliance department.
• MPIP C-BIZ, Enterprise Task Manager (ETM) coding related and non coding denials related issues to other than coding and meeting timely deadlines.
• Batch coded charges for daily date entry.
• Assist the Unit Manager with daily distribution of coding work logs, coder productivity and daily census for attendance.
• Other duties as assigned.

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications

• Extensive experience in the multi-specialty of physician medical coding. Extensive knowledge of the HIPAA, CMS 1995/1997 Medical Guidelines and 2021 AMA CPT and CMS office updates for coding evaluation and management services in an academic teaching setting.
• Ability to research medical coding guidelines and updates to educate faculty, resident, and other healthcare professionals for the coding department.
• Assist the department leadership with policy and procedure updates periodically. Ability to perform internal peer coding audit reviews.
• Ability to communicate with physicians and all healthcare providers with documentation guidelines. G.E. Centricity, G.E. EMR and clinical Cerner EMR applications experience.
• Bilingual English and Spanish.

Campus
HSC - El Paso

Department
Medical Coding SOM ELP

Required Attachments
Cover Letter, 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 on the Human Resources webpage.

Job Group
Information and Records Clerks

Occasional Duties

• Assist and provide ongoing education for physicians, residents, medical students, qualified professionals and the coding staff with correct coding documentation guidelines and proper utilization of CPT and ICD-10 codes and creditable resources for billable services.
• Assist to develop and recommend system workflows to capture professional fees and proper codes for reimbursement that will result in increased collection rates and a reduction in the number of claim denials and rejections.
• Assist Unit Manger with random coding internal audits.

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.
• Five (5) years of continuous medical auditing, billing and/or coding experience within the last seven (7) years.
  • Demonstrated completion of classes in medical terminology, anatomy,
    physiology, current CD-CM and CPT coding conventions and disease process from an accredited program.
• Experience must include procedural and diagnosis coding; Current coding certification from the American Associate 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

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. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.