[Hiring] Senior Coder - RCO Coding @University of Texas Medical Branch (UTMB)

Role Description

Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

• Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
• Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
• Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
• Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
• Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
• Attends and participates in coding education sessions.
• Obtains required CEU’s for certification and completes any required education.
• Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
• Work all PB/HB claim edits and reject errors daily.
• Hospital DNB’s will be worked as assigned per Specialty.
• Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
• Adheres to internal controls and reporting structure.

Qualifications

• Three years of multi-specialty coding experience.
• Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.
• Experience with communicating, training, and educating providers in proficiency.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.
• Experience in OB and Women's Specialties in an outpatient or clinic setting.

Requirements

• One of the following certifications is required:
  • CCA – Certified Coding Associate (AHIMA)
  • CCS – Certified Coding Specialist (AHIMA)
  • CCS-P – Certified Coding Specialist – Physician Based (AHIMA)
  • RHIA – Registered Health Information Administrator (AHIMA)
  • RHIT – Registered Health Information Technician (AHIMA)
  • CIC – Certified Inpatient Coder (AAPC)
  • COC – Certified Outpatient Coder (AAPC)
  • CPC – Certified Professional Coder (AAPC)
  • CPC-A – Certified Professional Coder – Apprentice (AAPC)
  • CRC – Certified Risk Adjustment Coder (AAPC)

Benefits

• Actual salary commensurate with experience.
• Remote position; flexible hours following successful completion of training.

Working Environment/Equipment

• Standard office environment at UTMB’s main campus or other location.
• Occasional travel may be required.
• Standard office equipment.