Texas Tech University Health Sciences Center El Paso
El Paso, Texas, United States
Senior Analyst - Compliance Coding Auditor
Posted over 1 month ago
Job Description
Extended Job Title
Senior Analyst - Compliance Coding Auditor
Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso
Position Description
Performs professional level analysis and control functions in area of assignment.
Requisition ID
22079BR
Travel Required
Up to 25%
Major/Essential Functions
Conducts routine quarterly monitoring of department provider(s)/coder(s) in accordance with written Billing Compliance program policies and procedures.
Conducts education to coders who have failed the audits in accordance with Billing Compliance program policies and procedures and/or directives from supervisor(s).
Conducts risk -based audits as needed. Provides written report of findings to Compliance supervisor(s).
Assist in the investigation of billing Compliance concerns.
Respond timely to coding/documentation questions from faculty staff.
Tracked and monitor payer audit requests.
Assists the preparation of written reports for presentation to the Billing Compliance Advisory Committee (BCAC) and External Audit Committee (EAC) regarding the monitoring of external audits and order risk base audit results.
Assist in providing department specific training(s).
Maintains confidentiality of protective health information (PHI) and confidential documents in accordance with TTUHSC El Paso policies and procedures.
Assist with administrative duties as directed by supervisor(s).
Promptly report any activity believed to be in violation of law, unethical or in violation of TTUHSC El Paso policies and procedures.
Maintain familiarity and stay current with coding conventions, changes in payer rules/regulations and TTUHSC El Paso Billing Compliance program requirements.
Position Specific Qualifications
Associate's degree or equivalent years of progress of experience in the healthcare industry. Currently an active professional coding certification required from an accredited organization. Two or more years building and coding experience in a multi - specialty group practice and/or academic practice setting is required. Three or more years of progressively responsible experience in a healthcare environment with two or more of those years directly involved in coding or healthcare items/services. The ability to travel as needed with little or no advance notice. The ability to execute any administrative activities/duties as required. Excellent oral and written communication skills. Ability to write and present ideas and information in a concise matter. Ability to meet deadlines and organize tasks to accomplish departmental golds. Ability to work collaboratively with all individuals. Profession bearing, sound business judgment and persuasive skills. Strong problem-solving skills, sell starter, ability to function with ace-to-fact, daily supervision. Ability to dealt with stressful situation, works collaboratively to address complex and sensitive issues. Excellent time management skills and attention to detail is required.
Grant Funded?
No
Minimum Hire Rate
16.89
Pay Basis
Hourly
Work Location
El Paso
Preferred Qualifications
Preferred Knowledge, Skills and Abilities
1. Current nationally recognized coding certification required.
2. Associate degree recommended.
3. Education/Training cannot be substituted for required coding experience.
Campus
HSC - El Paso
Department
Institutional Compliance Offc Elp
Required Attachments
Professional License or Certification, Resume / CV, Transcript
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
Bachelor's degree in related field. Three (3) years related experience; OR a combination of related education and/or experience to equal seven years.
Does this position work in a research laboratory?
No
Senior Analyst - Compliance Coding Auditor
Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso
Position Description
Performs professional level analysis and control functions in area of assignment.
Requisition ID
22079BR
Travel Required
Up to 25%
Major/Essential Functions
Conducts routine quarterly monitoring of department provider(s)/coder(s) in accordance with written Billing Compliance program policies and procedures.
Conducts education to coders who have failed the audits in accordance with Billing Compliance program policies and procedures and/or directives from supervisor(s).
Conducts risk -based audits as needed. Provides written report of findings to Compliance supervisor(s).
Assist in the investigation of billing Compliance concerns.
Respond timely to coding/documentation questions from faculty staff.
Tracked and monitor payer audit requests.
Assists the preparation of written reports for presentation to the Billing Compliance Advisory Committee (BCAC) and External Audit Committee (EAC) regarding the monitoring of external audits and order risk base audit results.
Assist in providing department specific training(s).
Maintains confidentiality of protective health information (PHI) and confidential documents in accordance with TTUHSC El Paso policies and procedures.
Assist with administrative duties as directed by supervisor(s).
Promptly report any activity believed to be in violation of law, unethical or in violation of TTUHSC El Paso policies and procedures.
Maintain familiarity and stay current with coding conventions, changes in payer rules/regulations and TTUHSC El Paso Billing Compliance program requirements.
Position Specific Qualifications
Associate's degree or equivalent years of progress of experience in the healthcare industry. Currently an active professional coding certification required from an accredited organization. Two or more years building and coding experience in a multi - specialty group practice and/or academic practice setting is required. Three or more years of progressively responsible experience in a healthcare environment with two or more of those years directly involved in coding or healthcare items/services. The ability to travel as needed with little or no advance notice. The ability to execute any administrative activities/duties as required. Excellent oral and written communication skills. Ability to write and present ideas and information in a concise matter. Ability to meet deadlines and organize tasks to accomplish departmental golds. Ability to work collaboratively with all individuals. Profession bearing, sound business judgment and persuasive skills. Strong problem-solving skills, sell starter, ability to function with ace-to-fact, daily supervision. Ability to dealt with stressful situation, works collaboratively to address complex and sensitive issues. Excellent time management skills and attention to detail is required.
Grant Funded?
No
Minimum Hire Rate
16.89
Pay Basis
Hourly
Work Location
El Paso
Preferred Qualifications
Preferred Knowledge, Skills and Abilities
1. Current nationally recognized coding certification required.
2. Associate degree recommended.
3. Education/Training cannot be substituted for required coding experience.
Campus
HSC - El Paso
Department
Institutional Compliance Offc Elp
Required Attachments
Professional License or Certification, Resume / CV, Transcript
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
Bachelor's degree in related field. Three (3) years related experience; OR a combination of related education and/or experience to equal seven years.
Does this position work in a research laboratory?
No
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