Role Description Baylor University is seeking a Medical Billing Assistant to support the financial operations of the Baylor University Health Center by ensuring accurate, timely, and compliant billing for clinical services. This role works closely with healthcare providers, insurance payers, students, and university departments to manage claims, resolve billing issues, and support a positive patient experience in a student-focused healthcare setting. This position is eligible for remote work. What You Will Do - Prepare, post, and follow up on insurance claims electronically or on paper for all medical services provided through the Baylor University Health Center including primary care, physical therapy, mental health, and nutrition; this includes filing with commercial plans, Tricare, and other federal payers as well as student health insurance plans. - Verify insurance eligibility, benefits, and authorizations prior to or following services. - Accurately code diagnoses and procedures using ICD-10, CPT, and HCPCS codes. - Post payments, adjustments, and denials; reconcile accounts and resolve discrepancies. - Investigate and appeal denied or underpaid claims in a timely manner. - Respond to billing inquiries from students, parents, insurance carriers, and university staff. - Maintain compliance with HIPAA, FERPA, university policies, and payer requirements. - Collaborate with clinical staff to ensure complete and accurate documentation. - Generate billing reports and assist with audits or internal reviews as needed. - Support student-friendly billing practices and education around insurance and charges. - Perform credentialing with new providers and for new payers as well as update insurance credentialing on an as-needed basis for current Baylor University Health Center providers. - Identify, facilitate, and support the addition of new payers from time to time. - Perform other duties as assigned by supervisor. Attend staff and university meetings and conferences as required. - Demonstrate a good work ethic and maintain a neat and orderly work area. - Perform all other duties as assigned to support Baylor’s mission. - Ability to comply with university policies. - Maintain regular and punctual attendance. Qualifications - A high school diploma and two years of relevant work experience are required. - A Bachelor’s degree and four years of relevant experience are preferred. - All applicants must be currently authorized to work in the United States on a full-time basis. Benefits - Comprehensive benefits package including medical, dental, and vision insurance. - Generous time off. - Tuition remission. - Outstanding automatic retirement contributions.

• responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services to assign diagnoses/procedure codes as described by the physician(s) of record • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines

• Analyzes relevant clinical and demographic information from the Health Information record • Assigns appropriate ICD-10 and CPT codes following appropriate guidelines • Ascertains compliance with CMS, state and other regulatory agencies • Provides mentorship and training to onboarding coders • Completes analysis of documentation and code assignment according to the American Hospital Association Official ICD-10 Coding Guidelines • Performs queries and obtains documentation required for coding • Maintains communication with Management and Providers to ensure timely notification of identified documentation issues

• Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines. • Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations. • Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines. • Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services. • Ensures optimal CPT, ASC, APC, APG assignment as applicable. • Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE. • Supports OP Clinical Documentation Improvement program. • Maintains productivity and quality rate according to established standards. • Works within UH Billing time frames. • Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. • Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. • Maintains up to date credentials. • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).