Job Description

Extended Job Title
Unit Manager-Billing/Coding (W.L. Hunt School of Dental Medicine)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Manages a unit within a department. Plans, organizes and develops goals and procedures for the unit. Represents the unit to administrators, outside agencies and others on relevant matters. Supervises subordinate staff.

 

Requisition ID
29184BR

Travel Required
Up to 25%

Major/Essential Functions
  • Responsible for the day-to-day overall operation of the Coding and Billing department. Develops and implements processes and procedures for the operation of the Coding and Billing division of the practice
  • Reviews CDT codes for accuracy resulting in appropriate reimbursement.  Supervises and assist in the researching of discrepancies in patient accounts by revising if there is a coding or data entry error
  • Educates and trains staff and enforces documentation guidelines and proper staff usage of CDT codes for billable OHC while interacting with direct dentists.  Educates healthcare provide regarding reimbursement methodologies, documentation rules and regulations related to coding
  • Must be able to read dentist records and review.  Must return charts not able to code to dentists for clarification
  • Coding:  Responsible for the supervision of two full-time Lead Coding and Reimbursement Specialist.  Meets weekly or on as needed basis with coding and billing staff
  • Billing. Responsible for the supervision of the Sr. Specialist (Denials & Appeals).  Ensures employees process appeals on claims denied by insurance companies in a timely manner and keep logs for tracking this activity
  • Responsible for daily and monthly billing reports to be discussed with Associate Dean for Clinic Affairs and Dir. Of Finance & Administration


Grant Funded?
No

Minimum Hire Rate
Salary commensurate with related education, experience and/or skills

Pay Basis
Monthly

Work Location
El Paso

Preferred Qualifications
  • In depth knowledge of CMS and Texas Medicaid and New Mexico Medicaid Rules and Regulations.
  • Extensive coding and billing experience in a multi-specialty group practice for Surgery, Orthopedics, Ophthalmology, Internal Medicine, Pediatrics, OB-GYN, Neurology, Family Medicine, Ancillary services and other sub-specialties for outpatient and inpatient.
  • Experienced in academic practice setting.
  • Knowledge of Centricity Business, GE EMR, Cerner EMR systems.
  • Ability to interact with physicians, non-physician practitioners and coding staff.
  • Ability to maintain meticulous records of audit activity.
  • Ability to write and compile meaningful reports.
  • Ability to compute rates, ratios, percentages, and to draw and interpret bar graphs.


Campus
HSC - El Paso

Department
Woody L. Hunt SDM Admin ELP

Required Attachments
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
Senior Other Administrative

Occasional Duties
  • Revises (adds, deletes, revises codes) the fee schedule as required by the student and faculty practice
  • Coordinates with PSS Supervisor to ensure patient registration, verification of patient demographics, and a data entry is completed accurately in a timely manner by assigned clinical staff
  • Supervises and assist in the researching of discrepancies in patient accounts by revising if there is a coding or data entry error
  • Performs audit on 10% of random charts per dentist per quarter. Also performs audit of Explanation of Benefits per major payer, paid or denied. This audit is used as a review for the coders
  • Develops and recommends systems to capture professional fees and proper codes for reimbursement that can result in increased collections rates and a reduction in the number of claim denials and rejections
  • Keeps track of approved coding reference material subscriptions for coding division and keeps up with new editions and orders the most recent edition of procedural and diagnosis codes, and fee reference books
  • Keeps informed on Medicaid Fraud and Abuse Compliance issues and attending seminars, and in services as necessary
  • Responsible for ensuring all faculty that see patients in the OHC are enrolled through DPIP Business Office. Responsible for enrollment and credentialing of dentists with insurance companies
  • Follow up with Texas Tech compliance office for issues that required attention for compliance purposes of the practice
  • Additional duties as directed by managing supervisor


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
Bachelor's degree plus three years supervisory experience; OR a combination of education and/or supervisory experience to equal seven years.

Does this position work in a research laboratory?
No

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

Application Instructions

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