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UTMB Health, also known as The University of Texas Medical Branch, is an award-winning healthcare system based in Galveston, Texas. A nationally recognized teac
Coder - RCO Coding
Location
United States
Posted
95 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Coder - RCO Coding
UTMB Health - University of Texas Medical Branch
EDUCATION & EXPERIENCE: Minimum Qualifications: - Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. 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, 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. 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.
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