Job Description

Extended Job Title
Sr Coding & Reimburs Spec - Coding Auditor

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
23496BR

Travel Required
Up to 25%

Major/Essential Functions
Respond timely to coding/documentation questions from faculty/staff.

Maintains confidentiality of Protected Health Information (PHI) and confidential documents in accordance with TTUHSC EL Paso policies and procedures. 

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 requirement. 

Grant Funded?
No

Minimum Hire Rate
16.89

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications
Position Specific Qualifications
Associates degree or equivalent years of progressive experience in the healthcare industry. Current and active professional coding certification required from an accredited organization. Two or more years billing 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 of health care 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 manner. Ability to meet deadlines and organize tasks to accomplish departmental goals. Ability to work collaboratively with all individuals. Profession bearing, sound business judgment and persuasive skills. Strong problem-solving skills, self starter, ability to function with face-to-face, daily supervision.  Ability to deal with stressful situation, works collaboratively to address complex and sensitive issues. Excellent time management skills and attention to detail is required. Must successfully pass a criminal background check, as well as not be listed on the HHS OIG, Texas Medicaid, GSA or any other exclusions/sanction list.

Preferred Knowledge, Skills and Abilities
1. Current nationally recognized coding certification required.
2. Associates 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, Recommendation/Referral, 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

Occasional Duties
 
Conducts risk-based audits as needed. Providers written reports of findings to Compliance supervisor(s).

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).

Assists in investigation of Billing Compliance concerns.

Track and monitor payer audit requests.

Assist with 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/or risk-based audit results.

Assist in providing department specific trainings(s).

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 applicant’s 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

Application Instructions

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