Senior Coding and Reimbursement Specialist (Medical Coding SOM)

Extended Job Title
Senior Coding and Reimbursement Specialist (Medical Coding SOM)

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
30031BR

Travel Required
Up to 25%

Major/Essential Functions

• Responsible to audit and code the medical documentation for complete coding. Select and assign the appropriate level of service CPT, ICD-10-CM, HCPCS and Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and billing timely filing.
• Batch coded charges for daily data entry.
• 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.
• Assist with onboarding training for physicians, residents, non-physician practitioner (NPP) and coding staff on documentation and coding guidelines.
• Assist and participate to conduct ongoing medical coding and reimbursement training and mentoring for documentation, coding regulations and guidelines to physicians, residents, medical students, NPPs and coding staff.
• MPIP C-BIZ, Enterprise Task Manager (ETM) non coding denials related issues to other than coding and meeting timely deadlines.
• All other duties as assigned by department supervisor, Unit Manager, and/or Director.

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications

• Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines in an academic teaching setting.
• Knowledge of G.E. Centricity patient accounts, GE EMR and Cerner Electronic Medical Records (EMR) or Electronic Health Records (EHR) and patient accounting software systems.
• Ability to participate with internal peer coding audit reviews.
• Ability to communicate with physicians and other healthcare providers for documenting guidelines. Extensive knowledge of Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
• Excellent communication skills to mentor the coding staff and others.
• 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

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
Education:

• High School graduate or equivalency

Experience:

• ???????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.

Certification:

• 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.