Coder - RCO Coding; Remote

Coder - RCO Coding (Remote) Galveston, Texas, United States

Business, Managerial & Finance

UTMB Health

Requisition # 2604701

• Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency.

• Outpatient women's and pediatric coding experience preferred.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

• 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)

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, 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.

• Performs related duties as required.

• Strong written and oral communication skills.

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

Actual salary commensurate with experience.

Remote, Monday through Friday, Full-Time Position.

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