Texas Tech University Coding & Reimburs Spec - Ob Gyn Lbk in Lubbock, Texas

Coding & Reimburs Spec - Ob Gyn Lbk

Requisition ID 13756BR

Work Location Lubbock

Org Level 1 Texas Tech Univ Health Sciences Ctr

Campus HSC - Lubbock

Department Ob Gyn Pavilion Lbk

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 1. 100% chart audits, coding and clearing of provider clinic, lab, radiology and hospital claims specializing by site to include Pavilion (teaching clinic), Grand Expectations, The Center for Reproductive Endocrinology & Infertility, The Center for Perinatal Medicine, Southwest OBGYN Associates at HealthPoint, Gynecological Oncology at SWCC, OBGYN Lab and Embryology Lab.

  1. Audit, code and clear claims from Missing Charge Reports by site mentioned in #1.

  2. Educate physicians on correct coding and documentation practices. Communicate to physicians any overdue documentation needed to bill.

  3. Responsible for the proper handling of all inquiries from internal and external parties relative to patient accounts.

  4. Audit the "Did Not Extract" list and bill accordingly.

  5. Audit denials, rebill, appeal accordingly.

  6. Audit Self-Pay accounts, discount, rebill, appeal and make collection calls.

  7. Process sterilization consents as required by carrier.

  8. Audit contract logs or timely and accurate reimbursement.

  9. Meet daily, weekly and month end goals.

  10. Maintain coding certification(s) by attending professional development events and earning required CEU's.

  11. Communicate with and prep/submit proper documentation to third-party coding resources.

  12. Meet Coding Productivity Goals.

  13. Professional Development Promote, Assess, and evaluate the education needs and requirements specific to your job discipline.

  14. Contribute to key performance indicators clinical transformation, financial performance, patient satisfaction, business development and people development.

Occasional Duties Other duties as assigned

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 Previous experience with OBGYN coding or experience in a clinical setting. AACP Certification

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.

Does this position work in a research laboratory? No

Required Attachments Cover Letter

Resume / CV

Optional Attachments Professional/Personal Reference

Professional License/Certification


Other Documents Supporting Qualifications

Job Type Full Time

Pay Basis Hourly

Minimum Hire Rate 14.48

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 generally M-F; 8-5

Grant Funded? No

Job Group Clerical/Secretarial

Removal Date 04/13/2019