Coding & Documentation Specialist

Overview

Title: Coding & Documentation Specialist

Employee Classification: Coding & Doc Specialist

Campus: University of North Texas - Health Science Center

Division: HSC-Health Systems

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

Department: HSC-HSC Health Administration-335001

Job Location: Denton

Salary: commensurate with experience

FTE: 1.000000

Retirement Eligibility: TRS Eligible

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 University of North Texas Health 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.

UNT Health is the academic clinical practice of the University of North Texas Fort Worth campus, where quality care meets quality education. UNT Health primary and multispecialty care offices are located on the UNT Health Fort Worth, Denton and Dallas UNT System campuses, focusing on improving health outcomes to build healthier communities. Care includes mobile health initiatives and extends to hospitals, surgery centers, long-term/continuing care centers, and in-home care.

UNT Health's interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, neurologists, nurse practitioners, pharmacists, social workers, psychologists, nurses and more work together while intentionally integrating healthcare students, residents, and fellows to deliver care to our community.

The Coding and Documentation Specialist is responsible for accurately assigning appropriate diagnostic and procedural codes to patient health information to support data retrieval, analysis, reimbursement, and regulatory compliance. This role also includes reviewing, analyzing, and entering charges into the practice management system while ensuring adherence to established standards, concepts, and coding guidelines. In addition, the specialist will verify patient benefits and eligibility, obtain required authorizations and referrals, perform timely follow-up on pending or denied requests and claims, and collaborate with clinical and administrative teams to ensure complete and accurate documentation that supports optimal claim processing and revenue cycle outcomes.

Bachelor's degree or equivalent combination of education and experience.

• Knowledge of ICD-9/10 CM, HCPC, and CPT coding systems and how to apply them accurately to medical records.
• Familiarity with medical documentation standards, coding guidelines, and regulatory requirements for billing.
• Understanding of healthcare billing processes and the importance of accurate coding for compliance and reimbursement.
• Strong attention to detail to ensure accurate coding and to identify clinical activities that need billing information.
• Excellent communication skills to work effectively with providers, address discrepancies, and clarify diagnosis or procedure codes.
• Proficiency in reviewing and validating medical records and claims to ensure compliance with coding and documentation requirements.
• Ability to resolve coding and documentation issues promptly in a clinic environment, ensuring timely billing and compliance.
• Strong problem-solving skills to address and correct coding mismatches or errors in collaboration with providers.

Next Gen experience

CPC Certification

• Communicate with management personnel about any coding or billing matters that may place the organization or individual provider at risk for non-compliance. If necessary, takes that issue up the management chain to reach a resolution.
• In a clinic and business environment, answers questions and resolves coding and documentation issues in real time.
• Abstracts…