Coder III Specialty Outpatient - Full Time - Remote

Texas Health Resources•Arlington, TX

2d•Remote

About The Position

The Coder III (Outpatient Specialty) reviews and codes complex, higher-risk outpatient surgical accounts, which may include GI, interventional radiology (CVIR), spine, wound care, or other identified specialty cases. The role assesses health record documentation to identify diagnoses and procedures for accurate ICD-10-CM/CPT coding and proper billing, abstracts clinical data according to Texas Health Resources guidelines, and queries physicians or surgeons when documentation is ambiguous, inadequate, unclear, or incorrect. The position is remote, with generally Monday–Friday hours of 8:00 a.m. to 4:30 p.m. and some flexibility. The coder maintains required production, accuracy, and quality metrics and keeps current with coding guidelines.

Requirements

Associate’s degree in Health Information Management, Healthcare, Business, or a related field; alternatively, a high school diploma or equivalent and two years of coding experience in lieu of a degree.
Three years of acute care hospital outpatient surgical coding experience.
One of the following certifications required upon hire: RHIA, RHIT, CCS, COC, CPC, or AAPC CVIRCC.
Proficiency in coding and EHR software.
Expert knowledge of ICD-10-CM, CPT, and modifiers.
Expertise in NCCI/OCE billing edits and regulatory and payer requirements related to coding and documentation.
Strong decision-making, problem-solving, critical-thinking, and research skills.
Clear and concise written and oral communication skills.
Initiative to stay current with coding updates, technology, and regulatory data.
Ability to adjust to changing priorities according to 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 or related work, or mentor/new-coder review training.
Two years of specialty or complex acute care outpatient surgical coding experience, such as 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 Resources guidelines.
Query physicians or surgeons when documentation is ambiguous, inadequate, unclear, or incorrect to support accurate coding and compliance.
Maintain adequate production, accuracy, and quality metrics.
Maintain coding proficiency by staying current with coding guidelines published in Coding Clinic and CPT Assistant.
Mentor, coach, or precept newly promoted or entry-level coders.
Serve as a subject matter expert for outpatient processes and workflows.