Professional Coder II- Revenue Cycle

UTHealth Houston • Houston, TX

14h • Hybrid

About The Position

UTHealth Houston is a leading healthcare organization in Texas, known for its commitment to education, innovation, scientific discovery, and patient care. The Professional Coder II plays a crucial role in the Revenue Cycle department, specifically in Charging Code and Capture. This position involves reviewing medical documentation to assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for professional encounters. The role requires applying coding conventions in accordance with official guidelines, third-party payer policies, and departmental procedures. Responsibilities include coding for inpatient/outpatient E/M encounters, office or hospital outpatient procedures, radiology, and emergency department visits. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Experience in Cardio, Emergency, and Gastro coding, as well as familiarity with Epic, are considered advantageous.

Requirements

• Analytical skills, ability to interpret data, and maintain spreadsheets.
• Knowledge of ICD-10 CM and CPT coding conventions
• Proficiency in Microsoft Office suite, the ability to abstract data and maintain a database required
• High level understanding of all federal/government regulations, coding guidance and the revenue cycle policies and procedures.
• Effective verbal and written communication between internal and external customers.
• Excellent time management skills required.
• Self-motivated and able to work independently without close supervision.
• Ability to work effectively under pressure due to changing priorities, interruptions, and workload variability.
• High School Diploma or equivalent required.
• 3 years experience in Health Information Management (HIM) coding required
• Registered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) required or
• Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required or
• Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) required or
• Certified Coding Specialist Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required or
• Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required or
• Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) required

Nice To Haves

• Cardio, Emergency, and Gastro coding experience
• Familiarity with Epic
• Clinic or hospital E/M coding preferred
• Clinic and hospital outpatient-based procedures preferred
• May substitute required experience with equivalent years of education beyond the minimum education requirement.

Responsibilities

• Resolves edits and assigns diagnosis and procedure codes.
• Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits.
• Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers ensuring compliance with all applicable guidelines.
• Approves and assigns ICD-10 and CPT codes suggested within Code Ryte CAC application for Radiology and Emergency Medicine services.
• Reviews and assigns ICD-10 and CPT codes for office and hospital EM services including Critical Care, bed side and other less complex procedures.
• Generates basic physician queries in accordance to established procedures.
• Provides feedback and education as required.
• Confirms that all applicable UTHealth and Coding Guidelines are being followed when resolving edits.
• Performs charge entry of professional services including but not limited to non-invasive tests, anesthesia, hospital or office-based visits.
• Abstracts information needed for billing of ancillary procedures or other outpatient services.
• Resolves any applicable system errors during charge entry.
• Performs charge reconciliation when applicable to the department via logs, visit schedules, and other reports.
• Meets the required coding quality and productivity expectations per department policy and procedure.
• Completes all education assigned by the Charge Capture and Coding department in collaboration with Clinical Documentation Improvement (CDI).
• Stays up-to-date with all federal, state, coding & departmental guidelines and procedures.
• Performs other duties as assigned.

Benefits

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
• Longevity Pay (Monthly payments after two years of service)
• Awesome retirement/pension plan
• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED