Medical Records Coder- All Levels

UT Health San Antonio•San Antonio, TX

About The Position

Under limited supervision, the Medical Records Coder conducts quality reviews of inpatient and outpatient coding, ensures coding compliance with federal regulations, and maintains current knowledge of coding guidelines and policy changes. The role performs technical documentation and coding work for medical billing, abstracts patient-related information from medical records, and uses ICD-10 and CPT codes to code diagnoses and procedures. The coder also reviews charge documents, claim edits, fee tickets, and physician notes for completeness and accurate billing, and works with facilities, regulatory classification agencies, patients, and internal and external customers to resolve documentation and coding questions. The position is with UT Health San Antonio, part of The University of Texas at San Antonio. A high school diploma or GED is required. The employer describes an extensive benefits package, with eligibility generally available to employees working at least 20 hours per week with an appointment of at least 4.5 months.

Requirements

Proficiency in ICD-10 and CPT coding.
In-depth understanding of medical terminology, anatomy, and physiology.
Meticulous attention to detail and accuracy.
Customer service acumen and interpersonal skills to work effectively with internal and external customers and respond to requests in a timely and respectful manner.
Strong verbal, written, and interpersonal communication skills.
High school diploma or GED.

Responsibilities

Review, interpret, and assign diagnostic and procedural codes based on medical record documentation and correct coding principles.
Perform technical documentation and coding work for medical billing; abstract complex patient-related data and code diagnoses and procedures using ICD-10 and CPT codes.
Work coding-related charge reviews and claim edits daily to support timely and accurate billing.
Research and resolve coding-related issues and assist in meeting productivity and quality standards.
Contact other facilities to obtain medical records and information needed to bill for services rendered.
Verify fee tickets and physician notes for completeness, abstract and enter relevant medical information, check for required signatures, and ensure documentation guidelines are followed.
Interact with regulatory classification agencies and patients when clarification or additional documentation is needed.
Review charge documents for completeness.
Update coding books when changes are accepted and published by regulatory agencies.
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 offering standard or enhanced vision benefits.
Disability insurance enrollment option providing income if a non-work-related illness or injury prevents work.
Flexible spending accounts for qualifying dependent care or out-of-pocket health care expenses.
Eligibility for the Teacher Retirement System or Optional Retirement Plan, plus voluntary retirement programs.
Paid time off of 128 to 208 hours (16 to 26 days), based on years of service, front-loaded at the start of each fiscal year; may be prorated in the first year.
Extended Illness Bank accrual of 8 hours per month, usable for illness or injury after one day of PTO is taken.
Paid family leave of up to 240 hours (6 weeks) after 6 months of consecutive employment.
12 set paid holidays each year.
Discounts on services, tickets, and gym membership.