Senior Coder - RCO Coding (Up to 19.99 hours/week)

Senior Coder

• RCO Coding (Up to 19.99 hours/week)
• Galveston, Texas, United States
• Business, Managerial & Finance UTMB Health Requisition # 2601552

• 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.

• 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 position. Casual Appointment (up to 19.99 hours/week).
• 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