Job Description

Extended Job Title
Coding & Reimburs Spec - Ob Gyn Lubbock

Org Level 1
Texas Tech Univ Health Sciences Ctr

Org Level 7
512501 - 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.

Requisition ID
16509BR

Optional Attachments
Professional/Personal Reference, Professional License/Certification, Recommendation/Referral, Other Documents Supporting Qualifications

Travel Required
None

Major/Essential Functions
1.  Audit denials, review, research, rebill, appeal accordingly through ETM.
2.  Communicate with and prep/submit proper documentation to third-party coding resources.
3.  Maintains accurate and up-to-date knowledge of Managed Care Programs and other carriers relative to accounts receivable follow up.
4.  Maintain all AR logs in a timely and efficient manner.

5.  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 of Reproductive Endocrinology & Infertility, The Center for Perinatal Medicine, Southwest Medical Women's and Children's, Gynecological Oncology in SWCC, OBGYN Lab and Embryology Lab.
6.  Audit contract logs for timely and accurate reimbursement.
7.  Responsible for the proper handling of all inquiries from internal and external parties relative to patient accounts.

8. Audit, code and clear claims from Missing Charge Reports by site mentioned in #1.
9.  Educate physicians on correct coding and documentation practices. Communicate to physicians any overdue documentation needed to bill
10. Responsible for the proper handling of all inquiries from internal and external parties relative to patient accounts.
11.  Audit the "Did Not Extract" list and bill accordingly.
12.  Audit denials, rebill, appeal accordingly.
13.  Audit Self-Pay accounts, discount, rebill, appeal and make collection calls.
14.  Process sterilization consents as required by carrier.
15.  Meet daily, weekly and month end goals
16.  Maintain coding certification(s) by attending professional development events and earning required CEU's.
17.  Communicate with and prep/submit proper documentation to third-party coding resources.
18.  Meet Coding Productivity Goals 
19.  Professional Development Promote, Assess, and evaluate the education needs and requirements specific to your job discipline. 
20.  Contribute to key performance indicators clinical transformation, financial performance, patient satisfaction, business development and people development


Grant Funded?
No

Minimum Hire Rate
14.48

Pay Basis
Hourly

Schedule Details
M-F, 8-5

Work Location
Lubbock

Preferred Qualifications
CPC Certification
Knowledge of ICD-10 and CPT coding in all areas of OBGYN services
Proficient with computer coding programs or coding books
Ability to communicate both verbally and written with patients, staff, physicians, and carriers
Must be able to understand and follow instructions.
Able to make decisions with moderate supervision
Must be able to articulate objectives and goals pertaining to the OBGYN Billing Area
Experience in coding and billing in OBGYN setting
 

Campus
HSC - Lubbock

Department
Ob Gyn Pavilion Lbk

Required Attachments
Cover Letter, Resume / CV

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
Clerical/Secretarial

Occasional Duties
Is proactive/responsive to any other duties as assigned by superiors.

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
* 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.

Does this position work in a research laboratory?
No

Application Instructions

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