Talent.com
Professional Coder II (Remote)

Professional Coder II (Remote)

The University of Texas Health Science Center at Houston (UTHealth)Houston, Texas
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Position Summary :

The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT / HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient / outpatient E / M encounters including office or hospital outpatient procedures, radiology and emergency department visits.

Position Key Accountabilities :

  • 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.

Certification / Skills :

  • RHIA - Registered Health Information Administrator required or
  • RHIT - Registered Health Information Technician required or
  • CCS-Certified Coding Specialist required or
  • Certified Coding Specialist ¿ Physician-based (CCS-P) required or
  • Certified Professional Coder (CPC) required or
  • Radiology Coding Certification (RCC) required
  • 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.

    • Minimum Education :

    High School Diploma or equivalent required.

    Minimum Experience :

  • 3 years experience in Health Information Management (HIM) coding required
  • 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.

    Physical Requirements :

    Exerts up to 20 pounds of force occasionally and / or up to 10 pounds frequently and / or a negligible amount constantly to move objects.

    Security Sensitive :

    This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

    Residency Requirement :

    Employees must permanently reside and work in the State of Texas.

    serp_jobs.job_alerts.create_a_job

    Coder Ii • Houston, Texas