Coding Specialist

Texas Tech University•El Paso, TX

32d•Onsite

About The Position

Review medical record provider documentation and assign appropriate CPT, HCPCS and/or ICD-10-CM codes for provider services (in accordance with the Standards of Ethical Coding set forth by the American Association of Professional Coders and American Health Information Management Association while ensuring accurate completion of responsibilities by established deadlines, resulting in maximum financial return. Demonstrated ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.

Requirements

High School diploma or equivalent (GED)
1 year experience with medical coding and/or billing
Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC)

Nice To Haves

Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines in an academic teaching setting.
Knowledge of Athena IDX patient accounts, Athena Flow and Cerner Electronic Medical Records (EMR) or Electronic Health Records (EHR) and patient accounting software systems.
Ability to participate with internal peer coding audit reviews.
Ability to communicate with physicians and other healthcare providers for documenting guidelines.
Bilingual English and Spanish.

Responsibilities

Selecting and assigning the appropriate level of service for CPT, ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing.
Assist with onboarding training for physicians, residents, non-physician practitioner (APP) and coding staff on documentation and coding guidelines.
Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned by the business office MPIP personnel, ensuring deadlines are met.
Managing non-coding-related issues within the AthenaIDX and ETM systems and adhering to all timely deadlines.
Performing charge data entry for billing in AthenaIDX.
Acting as a liaison between the internal coding team and the vendor, ensuring clear communication, and assisting the external medical coding vendor by clarifying clinical documentation or coding questions. This includes providing feedback on coding discrepancies, auditing vendor-coded charts for accuracy and adherence to facility guidelines, and assigning charts or work queues as needed.
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
Adhere to all TTUHSCEP policies, procedures and processes.
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork).
Perform all other duties as assigned.