UNT Health Fort Worth · 13 hours ago
Coding & Documentation Specialist
Texas, United States
Full-time
Onsite
Mid LevelUNT Health Fort Worth is part of the University of North Texas System, which focuses on improving health outcomes through education and care. The Coding and Documentation Specialist is responsible for accurately assigning diagnostic and procedural codes to patient health information, ensuring compliance and optimal claim processing.
EducationHealth CareNon ProfitUniversities
Responsibilities
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 clinical information form a variety of medical records to assign appropriate ICD10CM, HCPCS and/or CPT codes to patient records
Reviews claims prior to submission to assure that they are complete, accurate, and in compliance with coding and documentation requirements
Communicates effectively with providers to improve coding and ensure documentation supports the codes assigned. Keep all assigned providers updated with changes in coding or documentation requirements, changes in insurance plan policies or other changes that may affect reimbursement
Keep billing and coding knowledge accurate, complete, and current
Work denied claim reports to correct and either rebill or appeal claims in a timely manner to ensure timely filing and appeal deadlines are met
Review claim denials for billing and payer processing accuracy. Contact insurance payers regarding claim denials for reprocessing
Stay current on insurance payer billing guidelines and changes
Verify patient insurance eligibility and benefits information
Obtain and maintain current insurance prior authorizations for upcoming patient appointments
Maintain current insurance referrals
Performs other duties as assigned to meet the ongoing needs of the Department
Qualification
Required
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
CPC Certification
Preferred
NextGen experience
Company
UNT Health Fort Worth
UNT Health Fort Worth opened its doors in 1970 as the Texas College of Osteopathic Medicine.
Founded in 1970
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$152MKey Investors
Tarrant CountyNational Institutes of HealthBlue Cross and Blue Shield of Texas
2022-12-13Grant· $2M
2022-10-03Grant· $150M
2022-07-07Grant
Leadership Team
Kimberly Russell
Vice President
Kemp Louis
EVP Administration and Chief Business Officer
Recent News
2025-08-18
2025-05-05
Company data provided by crunchbase