Senior Coder - RCO Coding; Remote

Position: Senior Coder - RCO Coding (Remote)
EDUCATION & EXPERIENCE:

Minimum 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.

Preferred Qualifications:

* Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

* Plastic Surgery coding experience preferred.

REQUIRED LICENSES, REGISTRATIONS, OR

CERTIFICATIONS:

One of the following:

* CCA - Certified Coding Associate (AHIMA) or

* CCS - Certified Coding Specialist (AHIMA) or

* CCS-P
- Certified Coding Specialist
- Physician Based (AHIMA) or

* RHIA - Registered Health Information Administrator (AHIMA) or

* RHIT - Registered Health Information Technician (AHIMA)

* CIC - Certified Inpatient Coder (AAPC) or

* COC - Certified Outpatient Coder (AAPC) or

* CPC - Certified Professional Coder (AAPC) or

* CPC-A
- Certified Professional Coder
- Apprentice (AAPC) or

* CRC - Certified Risk Adjustment Coder (AAPC)

JOB SUMMARY:

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.

ESSENTIAL JOB FUNCTIONS:

* 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, ICD
10-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.

Marginal or Periodic Functions:

* Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES:

* Strong written and oral communication skills.

WORKING ENVIRONMENT/EQUIPMENT:

* Standard office environment at UTMB's main campus or other location.

* Occasional travel may be required.

* Standard office equipment

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Remote, Monday through Friday, Full-Time Position.

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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

Compensation