Coder III - Corporate Coding

Baylor Scott & White Health • Dallas, TX

1d

About The Position

The Coder 3 is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. Coder 3 uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder 3 will abstract and enter required data.

Requirements

• Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
• Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.
• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
• 3 Years of Experience
• Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): One of the following: RHIA, RHIT, CCS, CIRCC, CIC, CCS-P, COC, CPC.

Nice To Haves

• CIRCC certification, or expertise in at least 8 sub-specialties.

Responsibilities

• Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

Benefits

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED