Coding Education Consultant

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Coding Education Consultant assists with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on appropriately documenting medical records for services provided to patients. The role conducts coding quality reviews, investigates and resolves coding-related issues, and provides education and feedback to providers, end users, and ancillary staff. It also serves as a coding resource for assigned departments or subspecialties and collaborates with Compliance on detected issues and corrective action.

Requirements

  • Knowledge of Federal, State, and payer regulations.
  • Proficiency in ICD-10 and CPT coding.
  • Strong leadership skills and ability to apply judgment in making informed decisions.
  • Ability to manage multiple responsibilities while meeting objectives and working with teams.
  • Strong verbal, written, and interpersonal communication skills.
  • Detail-oriented, with meticulous planning and organizational skills.
  • High school diploma or GED required.

Responsibilities

  • Conduct quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with coding and billing standards.
  • Research and resolve reported coding-related denials.
  • Review and resolve services in charge review to identify coding issues and trends.
  • Recommend policy and procedure changes to improve professional fee coding and data management.
  • Perform daily work in a manner that ensures strict confidentiality.
  • Provide feedback to providers based on quality reviews to minimize errors.
  • Develop and conduct training on documentation, billing, and coding, including guideline updates and practices that prevent denials or increase revenue.
  • Provide coding, billing, and documentation education to end users and ancillary staff as needed.
  • Report compliance issues detected through reviews and collaborate with Compliance to identify and implement corrective action plans.
  • Serve as a resource for coding activities within assigned departments or subspecialties.
  • Perform other duties as assigned.

Benefits

  • UT SELECT medical insurance offered free for employees; family members may be added through payroll deduction.
  • Group term life insurance and basic accidental death and dismemberment insurance provided at no cost, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental.
  • Two vision plan options through Superior Vision Services.
  • Disability insurance enrollment option.
  • Flexible spending accounts for qualifying dependent care or out-of-pocket health care expenses.
  • Eligibility for the Teacher Retirement System or Optional Retirement Plan, as applicable, and voluntary retirement programs.
  • Paid time off of 128 to 208 hours (16 to 26 days) annually based on years of service.
  • Extended Illness Bank accrual of 8 hours per month.
  • Paid family leave of up to 240 hours (6 weeks), subject to eligibility.
  • 12 paid holidays each year.
  • Discounts on services, tickets, and gym membership.
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