Coding Specialist III - Outpatient Surgery (PRN)

UT Southwestern Medical Center • Dallas, TX

5d • Remote

About The Position

UT Southwestern is seeking a Coding Specialist III for Outpatient Surgery on a PRN basis. This role is responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, adhering to Official Coding Guidelines and conventions. The specialist will accurately identify the Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to ensure medical necessity and compliance with edits. Additionally, the role involves abstracting required data elements, reviewing denial work queues, identifying the need for physician queries, validating chargemaster driven CPT code assignments, and maintaining quality and productivity standards. The position may also involve mentoring and training on designated coding service lines and maintaining an expert level of knowledge in coding guidelines and practices.

Requirements

• High School Diploma or equivalent.
• 3 years of acute hospital based coding experience or An equivalent combination of education and experience may be considered.
• (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (COC) Certified Outpatient Coding or (CPC) CERT PROFESSIONAL CODER or AAPC Certified Professional Coder-Hospital (CPC-H) or (CIRCC) Cert Inter Rad Cardio Coder

Nice To Haves

• Associate's Degree in Health Information Management and/or closely related field or Bachelor's Degree in Health Information Management and/or closely related field
• Experience working in a remote environment preferred; required for PRN Coders.

Responsibilities

• Responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions.
• Accurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits.
• Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.
• May be assigned to review accounts in the denials work queues and make recommendations to the Coding Manager.
• Identifies when a physician query is appropriate for further clarification.
• Recognizes when the documentation is missing or incomplete and routes appropriately.
• Validates chargemaster driven CPT code assignment and routes appropriately.
• Completes review and final coding when query and/or documentation is available.
• Maintain the Quality and Productivity Standards set by UTSW/HIM Coding.
• Mentor/train on designated coding service lines as requested to ensure quality.
• Maintains an expert level of knowledge of coding related guidelines and practices.
• Other duties as assigned

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees