[Hiring] Certified Coding Specialist I/II/III- Ob/Gyn @UTHealth (University of Texas Health Science Center at Houston)

Role Description

The Certified Coding Specialist working in our Ob/Gyn Department 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.

Qualifications

• 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.

Requirements

• Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) within 6 months of hire required or
• Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) within 6 months of hire required or
• Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) within 6 months of hire required or
• Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) within 6 months of hire required or
• Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) within 6 months of hire required.
• High School Diploma or equivalent required.
• 2 years related coding experience required.

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).
• The longer you stay, the more vacation you’ll accrue!
• Longevity Pay (Monthly payments after two years of service).
• Build your future with our 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.
• Plus many more!

Company Description

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care.

Position Key Accountabilities

• Resolves Epic Coding and Optum Claims Manager edits.
• 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.
• Generates basic physician queries in accordance with 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 less complex outpatient services.
• Resolves any applicable system errors.
• 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.
• Maintains continuing education hours relevant to coding credential and stays up-to-date with all federal, state, coding & departmental guidelines and procedures.
• Performs other duties as assigned.