Coding Team Lead

Overview

Title: Coding Team Lead

Employee Classification: Coding Team Lead

Campus: University of North Texas - Health Science Center

Division: HSC-Health Systems

Sub Division-Department: HSC-Health Systems & Clinical Aff

Department: HSC-Correctional Medicine-350501

Job Location: Fort Worth

Salary: Commensurate with experience

FTE: 1.000000

Retirement Eligibility: TRS Eligible

About Us - Values Overview

Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and the University of North Texas Health Science Center at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000+ students across our system, and awarding nearly 12,000 degrees each year.

We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities.

We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team.

Learn more about the UNT System and how we live our values System.edu.

The Correctional Medicine Department is a non-academic service line under UNT Health Fort Worth's Clinical Practice Group. This Department oversees and manages two Comprehensive Medical Services contracts with Federal Bureau of Prisons (BOP):
Federal Medical Center (FMC) Fort Worth - male facility and FMC Carswell - female facility.

The major responsibilities of the Coding Team Lead shall include, but not be limited to, serving as lead coder for Business Operations to ensure accurate and timely pricing, medical record analysis, coding review, charge entry, and invoicing of contract services provided under UNTHSC's Comprehensive Medical Services contracts with the Federal Bureau of Prisons (BOP) and other assigned departmental contracts and agreements.

Bachelor's degree or equivalent combination of education and experience, and three (3) years of coding experience. CPC or CCS-P coding certification required.

• In-depth knowledge of ICD-9-CM, ICD-10-CM, HCPCS, and CPT coding systems and guidelines, with the ability to apply them accurately across various patient records.
• Solid understanding of federal and state healthcare regulations, including HIPAA, and the ability to ensure coding practices comply with these regulations.
• Knowledge of EHR systems and their integration with coding processes, along with the ability to navigate and extract necessary data from EHR systems for accurate coding.
• Understanding of the relationship between coding and billing, as well as payer-specific requirements, to ensure accurate reimbursement.
• Strong ability to analyze clinical data and medical records to determine appropriate coding, ensuring both accuracy and efficiency.
• Excellent attention to detail to ensure all diagnostic and procedural codes are accurately assigned, minimizing errors in data entry and claims processing.
• Ability to lead and motivate a coding team, provide training and feedback, and foster a collaborative and productive work environment.
• Strong organizational skills to manage multiple tasks and deadlines, with the ability to adapt quickly to changes in coding guidelines, system updates, and regulatory requirements.

• Demonstrated experience in working with correctional health care service contracts.
• Demonstrated capability in utilizing Next Gen Enterprise Practice Management software application.

Inpatient Coding Certification by the American Academy of Professional Coders (AAPC) or other accredited professional coding organization.

• Serve as Team Lead principally responsible for reviewing inpatient, outpatient, long term care facility and provider claims submitted by Correctional Health Network facilities and providers under CMD contracts.
• Review and validate accuracy and completeness of medical claims and assigned Diagnostic Related Group Rates (DRG) under Hospital Inpatient Prospective Payment System, Ambulatory Payment Classification (APC) under Outpatient Prospective Payment System, and Long-Term Care DRG under Long Term Care Hospital Prospective Payment System based on supporting documentation.
• Assess…