Let $n$ be a non-negative integer. Does there always exist a polynomial $P_n(a,b)$ such that for all integers $a > b \geq n/2$ we have $$ \sum_{k=b}^{a-1} \binom{2k+1+n}{2n+1}\binom{2a-1}{a+k} = \binom{2a-1}{a+b} P_n(a,b)\quad ? $$ For small values of $n$ this is easily verified using Gosper's algorithm, for example $$P_0(a,b) = a+b,\qquad P_1(a,b) = \tfrac{2}{3}(a+b)(b^2 +a -1), $$ but I am struggling to prove the general case. Any suggestions or literature references on this problem?
Here are some details on Gosper's algorithm. Let us denote the summand by $t(k) = \binom{2k+1+n}{2n+1}\binom{2a-1}{a+k}$ and let $$p(k) = (k-\tfrac12n+1)_n(k-\tfrac12n+\tfrac12)_{n+1}, \quad q(k) = a-k-1, \quad r(k)=a+k$$ where $(x)_n = x(x+1)\cdots(x+n-1)$. Then we have $$ \frac{t(k+1)}{t(k)} = \frac{q(k)}{r(k+1)}\frac{p(k+1)}{p(k)}.$$ According to Gosper, $T(k+1)-T(k)=t(k)$ has a hypergeometric term solution $T(k)$ iff there exists a polynomial $s(k)$ of degree $2n$ (with coefficients that depend on $a$) that solves \begin{equation} \tag{1} p(k) = q(k) s(k+1) - r(k)s(k). \end{equation} If such a solution exists, then $$T(k) = \frac{r(k)}{p(k)} t(k)s(k)\quad \text{and}\quad P_n(a,b) = \frac{T(a)-T(b)}{\binom{2a-1}{a+b}} = -\frac{2^{2n+1}}{(2n+1)!}(a+b)\,s(b)$$ fulfilling my request. The linear mapping $s(k) \mapsto q(k) s(k+1) - r(k)s(k)$ from polynomials of degree $2n$ to those of rank $2n+1$ is easily seen to be injective, but it seems difficult to show that $p(k)$ lies in its image for general $n$.
Update: I have included a proof in an answer below, but I'd still be interested in literature references.