Coder 2 MMG - OB Coder

Methodist Health System•Dallas, TX

2d•Remote

About The Position

The Coder 2 is responsible for reviewing medical record documentation and accurately and compliantly assigning 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 payment of professional services through coding research and education for the MMG healthcare provider community. The position is remote after a minimum of three weeks of on-site training at the Dallas Campus. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. The Coder reports to the Coding Manager.

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/surgical coding.
Core coding certification credential from AAPC or AHIMA: CPC or CCS-P required.
Strong knowledge of CMS manuals, federal and regulatory guidelines, and correct coding policies.
Independent discipline in time management and productivity.
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 clinic services.
Read and interpret medical record documentation for surgical procedures, office encounters, diagnostic services, and pathology 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 follow up with written communication to educate providers on correct coding and documentation.
Review specialty-specific work queues, which may include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery.
Conduct pre-claim review of charge review work queues to check code accuracy, identify missing codes, determine the need for modifiers, and address other coding-related deficiencies.
Review and correct specialty-specific claim edit work queue items to support timely payer submission.
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.