Texas Tech University Ophthalmology - Coding & Reimbursement Specialist in Lubbock, Texas

Ophthalmology - Coding & Reimbursement Specialist

Requisition ID 11288BR

Work Location Lubbock

Org Level 1 Texas Tech Univ Health Sciences Ctr

Campus HSC - Lubbock

Department Ophthalmology Dept Lbk Genl

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

  • Knowledge of the CPT, ICD-CM, and HCPCS nomenclature, coding rules and guidelines.

  • Knowledge of inpatient and outpatient medical records processing and federal and state reimbursement regulations.

  • Verifies insurance benefits and eligibility for claims.

  • Communicates with all insurance payers.

  • Compiles all necessary billing documentation for processing that includes consults, peri-ops, operative reports, office notes and billing claim forms.

  • Enters charge corrections for denied claims.

  • Codes procedures and surgeries.

  • Codes E/M and office charges maintaining a system to track completion.

  • Codes pre-certs for surgeries and diagnostic procedures

  • Attends CEU and conferences to maintain coding knowledge.

  • Provides coverage in co workers absence.

Occasional Duties

  • Other duties and report requests as assigned by supervisors.

Required Qualifications A minimum of a high school diploma or equivalent plus at least two (2) years of coding and reimbursement experience that includes procedural and diagnosis coding.

OR

A minimum of a high school diploma or equivalent plus successful completion of a recognized procedural and diagnosis coding course.

Preferred Qualifications

Certified Professional Coder (CPC) or desire to become certified.

Previous coding and reimbursement experience that includes procedural and diagnosis coding.

Ophthalmic Coding Specialist (OCS)

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, national origin, age, disability, genetic information or status as a protected veteran.

Does this position work in a research laboratory? No

Optional Attachments Other Documents Supporting Qualifications

Job Type Full Time

Pay Basis Hourly

Minimum Hire Rate 13.16

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.

Travel Required None

Shift Day

Schedule Details M-F 8:00 am to 5:00 pm

Grant Funded? No

Job Group Clerical/Secretarial

Removal Date 08/07/2018