Sr Coding & Reimburs Spec

Texas Tech University Health Sciences Center
United States, Texas, Lubbock
3601 4th Street (Show on map)
Dec 07, 2024
Sr Coding & Reimburs Spec Lubbock 39603BR Position Description 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 providers. Major/Essential Functions Reviews official medical records and accurately assign the code for all procedures/services, all diagnoses, and supplies using CPT/ICD-CM/HCPCS coding conventions, third party payer rules, and applicable documentation guidelines. Sequence the diagnoses and procedures using coding guidelines. Identify and review official hospital medical records and accurately assign the code for all daily service, procedures, and diagnosis for patients "post discharge." Serves as a resource for all coding related questions, responding in a timely manner to requests and questions from Coding staff. Assist with special projects as assigned. Mentors and trains newly hired Coders and provides ongoing training of Coding staff. PROFESSIONAL DEVELOPMENT: Promote, Assess, and evaluate the educational needs and requirements specific to your job discipline Identify, review, and accurately code other professional services such as clinic E/M, inpatient/outpatient surgical procedures, and other physician/healthcare services for reimbursement and statistical purposes when necessary. Review/Entry of consult cards/sheets for coding purposes. Reviews and educates physicians/residents and/or other personnel on coding practices and documentation requirements. Works with reimbursement staff to be proactive in preventing claim denials. Abstracts and interprets physician/healthcare provider documentation to assign the most appropriate codes to ensure all entitled reimbursement. Review financial data in UMC and TTUHSC including FSC flow and make changes as needed. Sequences the diagnoses and procedures using coding guidelines. Adheres to and upholds the departments Vision, Mission and Values (VMV). Required Qualifications High School graduate or equivalency and 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. 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. To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=880300 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-25040a123c62534f90b00b0a946bb8ef