Certified Coding Specialist I/II/III- Ob/Gyn

UTHealth HoustonHouston, TX
Remote

About The Position

The Certified Coding Specialist working in our Ob/Gyn Department is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits.

Requirements

  • Analytical skills, ability to interpret data, and maintain spreadsheets.
  • Knowledge of ICD-10 CM and CPT coding conventions.
  • Proficiency in Microsoft Office suite, the ability to abstract data and maintain a database required
  • High level understanding of all federal/government regulations, coding guidance and the revenue cycle policies and procedures.
  • Effective verbal and written communication between internal and external customers.
  • Excellent time management skills required.
  • Self-motivated and able to work independently without close supervision.
  • Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) within 6 months of hire required or
  • Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) within 6 months of hire required or
  • Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) within 6 months of hire required or
  • Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) within 6 months of hire required or
  • Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) within 6 months of hire required
  • High School Diploma or equivalent required
  • 2 years Related coding experience required
  • Employees must permanently reside and work in the State of Texas.

Responsibilities

  • Resolves Epic Coding and Optum Claims Manager edits.
  • Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits.
  • Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers ensuring compliance with all applicable guidelines.
  • Generates basic physician queries in accordance to established procedures. Provides feedback and education as required.
  • Confirms that all applicable UTHealth and Coding Guidelines are being followed when resolving edits.
  • Performs charge entry of professional services including but not limited to non-invasive tests, anesthesia, hospital or office-based visits.
  • Abstracts information needed for billing of ancillary procedures or other less complex outpatient services
  • Resolves any applicable system errors.
  • Performs charge reconciliation when applicable to the department via logs, visit schedules, and other reports.
  • Meets the required coding quality and productivity expectations per department policy and procedure.
  • Maintains continuing education hours relevant to coding credential and stays up-to-date with all federal, state, coding & departmental guidelines and procedures.
  • Performs other duties as assigned.

Benefits

  • 100% paid medical premiums for our full-time employees
  • Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
  • The longer you stay, the more vacation you’ll accrue!
  • Longevity Pay (Monthly payments after two years of service)
  • Awesome retirement/pension plan
  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Other employee discounts including entertainment, car rentals, cell phones, etc.
  • Resources for child and elder care
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