Coding & Reimburs Spec
Abides by the Standards of Ethical Coding as set forth by the American Association of Professional Coders (AAPC) and adheres to official coding guidelines and the Values Based Culture of Texas Tech University Health Sciences Center. 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 provider services to include procedural, diagnosis, and supplies in all places of service.
Major/Essential Functions
- Reviews official medical records with physician/Healthcare provider documentation and assigns correct CPT, HCPC and ICD codes.
- Data entry of charges from fee sheets or EMR.
- Ensures accurate complete and timely code assignments for all physician/healthcare provider services to include procedural, diagnosis and supplies in all places of service.
- Works with Faculty, Residents and staff to facilitate accuracy of codes and billing rules. Provides feedback and education to Faculty, Residents and staff.
- Works denial file for appeals and denials. Work closely with BO staff to ensure appropriate denial reason and responses.
Required Qualifications
High School graduate or equivalency required. A combination of coding and reimbursement or Medical billing experience, preferably in a physician group or health care institution to equal two years. Must include procedural and diagnosis coding; prefer experience in academic health care setting. OR High School graduate or equivalency required. Current coding certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) Certification to remain current during term of employment.
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