Coder III Specialty Outpatient - Full Time

Texas Health•Arlington, TX

1d•Remote

About The Position

Texas Health is seeking a Coder III Specialty Outpatient to review complex, higher-risk outpatient surgical accounts and accurately code them for billing. The role assesses health record documentation, identifies pertinent primary and secondary diagnoses and procedures, and assigns appropriate ICD-10-CM and CPT codes. Cases may include GI, interventional radiology (CVIR), spine, wound care, or other complex outpatient surgical specialties. The coder abstracts clinical data according to Texas Health guidelines, queries physicians or surgeons when documentation is ambiguous, inadequate, unclear, or incorrect, and maintains required production, accuracy, and quality metrics. The position also requires keeping current with coding guidance and serving as a subject matter expert for outpatient processes and workflows. The role is remote, with generally Monday-through-Friday hours from 8:00 a.m. to 4:30 p.m. and some flexibility in scheduling.

Requirements

Associate's degree in Health Information Management, Healthcare, Business, or a related field; alternatively, a high school diploma or equivalent plus two years of coding experience in lieu of the degree.
Three years of acute-care hospital outpatient surgical coding experience.
One of the following certifications is required upon hire: RHIA, RHIT, CCS, COC, CPC, or another AAPC credential such as CVIRCC.
Proficiency in coding and EHR software.
Expert knowledge of ICD-10-CM, CPT, modifiers, NCCI/OCE billing edits, and regulatory and payer requirements related to coding and documentation.
Strong decision-making, problem-solving, advanced critical-thinking, and research skills.
Clear and concise written and oral communication skills.
Personal initiative to stay current with coding updates, technology, and regulatory data.
Ability to adjust to changing priorities based on business needs.
Ability and willingness to mentor, coach, or precept newly promoted or entry-level coders.

Nice To Haves

Two years of education or audit reviews, such as E/M reviews or comparable work, or experience training or reviewing new coders.
Two years of specialty or complex acute-care outpatient surgical coding, such as interventional radiology (CVIR), GI/Endo, wound care, or spine/hands/feet coding.

Responsibilities

Assess health record documentation and identify pertinent primary and secondary diagnoses and procedures requiring ICD-10-CM/CPT codes for complex outpatient surgical accounts.
Abstract and compile clinical data elements, such as attending physician and surgeon, according to Texas Health guidelines.
Query physicians or surgeons when records are ambiguous, inadequate, unclear, or incorrect for accurate coding and compliance.
Meet and maintain production, accuracy, and quality metrics specified in the job description.
Maintain coding proficiency by staying current with guidance published in Coding Clinic and CPT Assistant.
Serve as a subject matter expert for outpatient processes and workflows.
Mentor, coach, or precept newly promoted or entry-level coders.