Position Summary
Performs coding and documentation quality audits, providing feedback and education to coding and reimbursement specialists, coders, and providers.
Minimum Qualifications
· High School graduate or equivalency and five years of coding and reimbursement experience of which 1 year may be as a coding auditor.
· Additional job-specific education may substitute for the experience.
· Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA).
· Certification to remain current during term of employment.
· Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.
Position Specific Qualifications
• Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred.
• Five or more years of progressively responsible experience in a health care environment, with three of those years directly involved in coding of health care items/services.
• Excellent oral and written communication skills.
• Ability to write and present ideas and information in a concise manner.
• Ability to work collaboratively with all individuals.
• Professional bearing, sound business judgment and persuasive skills.
• Strong problem-solving skills, self-starter, ability to function with little face-to-face, daily supervision.
• Ability to deal with stressful situations, works collaboratively to address complex and sensitive issues.
• Excellent time management skills and attention to detail a must.
• Must successfully pass a criminal background check, as well as not be listed on the HHS OIG, Texas Medicaid, GSA or any other government exclusion lists.
Preferred Knowledge, Skills and Abilities
· Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
· Ability to compute rates, ratios, percentages, and to draw and interpret bar graphs.
Texas Tech University Health Sciences Center is a public academic health sciences center dedicated to educating healthcare professionals, advancing biomedical research, and providing patient-centered clinical care across Texas. With campuses in Lubbock, Amarillo, Midland, Odessa, Abilene and Dallas, TTUHSC serves a large rural and underserved population, integrating medical education, nursing, pharmacy, health professions, and graduate biomedical sciences programs. Its mission emphasizes improving access to care, addressing regional health disparities, and training providers to meet the unique needs of West Texas communities.
The mission of the TTUHSC Institutional Compliance Office (ICO) is to advance an
institutional culture of ethics, integrity and compliance with laws, regulations and
policies, governing institutions of higher education through awareness programs,
monitoring and responding to non-compliance.
Billing Compliance Office is under the ICO, with the vision to reduce the submission of improper health care billing claims by TTUHSC. In support of this vision, our mission is to establish an effective billing compliance program for TTUHSC clinical practices in accordance with state and federal standards. Our offices will provide providers and their staff with appropriate informationto assure awareness of proper billing for health care items and services. In addition, billing compliance staff will assess the effectiveness and quality of the billing compliance program to ensure compliance with coding and billing standards.