Minimum Qualifications:

A high school diploma or equivalent and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and Outpatient hospital services. Must also have experience with communicating, training, and education providers in the area of proficiency. CPC, CPCHA coding certification from AAPC or CCA, CCS, or CCSP coding certification from AHIMA.

Job Description:

Properly codes Professional services and outpatient hospital technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

Job Duties:

• Works coding related charge review and claim edits daily to ensure timely and accurate billing. The Specialist should also researches and resolve any and all coding related issues, and assists in meeting productivity and quality standards.
• Conducts the quality review of outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
• Work all WQ PB/HB errors daily.
• PB/HB, Revenue Cycle, Coding, Charge Capture, Medicare, CMS Preferred
• Educate and offer feedback to physicians and staff as needed to ensure that documentation is complete, accurate, and compliant with guidelines.
• Maintain acceptable productivity level and keep Pre/AR at or below departmental standard.
• Actively participate in team functions such as team meetings, educational sessions, and team projects.
• Adheres to internal controls and reporting structure.

Work Schedule:

Monday through Friday 8:00am-5:00pm

Salary Range:

Actual salary commensurate with experience

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.