Coder 2 MMG - OB Coder

Methodist Health System•Dallas, TX

1d•Remote

About The Position

The Coder 2 reviews medical record documentation and accurately and compliantly assigns CPT®, HCPCS, and ICD-10 codes for professional services. The role primarily reviews charges for Maternal Fetal Medicine and OB/GYN clinics and supports accurate coding and payment of professional services through research and education with the MMG healthcare provider community. The coder reviews assigned specialty-specific work queues and performs pre-claim charge review, identifying coding accuracy issues, missing codes, modifier needs, and other coding-related deficiencies. The role also reviews and corrects specialty-specific claim edits to support timely payer submission. The position is remote after a minimum of three weeks of on-site training at the Dallas Campus.

Requirements

High school diploma or equivalent.
A minimum of two years of professional coding experience, or one year of professional coding experience and two years of HCC experience.
Demonstrated experience in procedural or surgical coding.
Core coding certification from AAPC or AHIMA; CPC or CCS-P is required.
Strong knowledge of CMS manuals, federal and regulatory guidelines, and correct coding policies.
Ability to manage time and productivity independently.
Experience with electronic medical record software.
Proficiency in Microsoft Office.
Ability to communicate coding information in writing and orally to healthcare professionals.

Nice To Haves

COBGC certification preferred.
Associate degree is an asset.
Experience with Epic preferred.

Responsibilities

Review charges primarily for Maternal Fetal Medicine and OB/GYN clinics.
Read and interpret medical record documentation for surgical procedures, office encounters, diagnostic services, and pathological services.
Assign accurate and complete CPT®, HCPCS, and ICD-10 codes, including modifiers and units, to source documents for claim submission.
Research provider coding inquiries and provide written communication to educate providers on correct coding and documentation.
Review assigned specialty-specific charge review work queues before claims are submitted, identifying inaccurate or missing codes, modifier needs, and other coding-related deficiencies.
Review and correct specialty-specific claim edit work queues to support timely submission to payers.
Participate in education programs and monthly department meetings.
Maintain coding accuracy of 90% or higher and meet department production requirements.
Perform other duties as assigned.