Medical Records Coder-Senior

• Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
• Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
• Works coding related charge review and claim edits daily to ensure timely and accurate billing.
• Obtains medical records and charge fee information from patient care area.
• Contacts other facilities to obtain medical records and information needed to bill for services rendered.
• Verifies charge capture and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; ensures proper documentation guidelines are followed.
• Codes diagnosis and procedures using classification coding systems.
• Reviews charge documents for completeness.
• Performs all other duties as assigned.

Qualifications

• Proficiency in ICD-10 and CPT coding.
• In-depth understanding of medical terminology, anatomy and physiology.
• Meticulous attention to detail and accuracy.
• Solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
• Strong verbal, written and interpersonal communication skills.
• Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.
• High school diploma or GED is required.
• Five (5) years experience in medical record abstraction and coding is required.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture.

Benefits

• Medical – UT SELECT Medical insurance offered free for employees (administered by Blue Cross and Blue Shield of Texas); family members can be added through payroll deduction. Employees and dependents receive discounted copays and coinsurance when using UT Health Physicians.
• Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance free, with options to purchase additional coverage.
• Dental – Three dental insurance plan options available through Delta Dental Insurance Company (two PPOs and one dental HMO).
• Vision – Fully insured Vision Care benefits offered by Superior Vision Services (two plan options: standard or enhanced).
• Disability – Disability Insurance provides income if a non-work related illness or injury prevents you from working.
• FSAs – Flexible spending accounts for qualifying dependent day care or out-of-pocket health care expenses.
• Retirement – Eligible for either Teacher Retirement System (TRS) defined benefit plan (UT Health matches employee contributions) or Optional Retirement Plan (ORP) for eligible faculty staff; voluntary retirement programs also available.
• Time Off – Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) based on years of service, given at start of fiscal year (prorated in year one based on hire date); Extended Illness Bank: 8 hours (1 day) accrued per month; Paid Family Leave: Up to 240 hours (6 weeks) to care for spouse, child, or parent after 6 months; 12 set paid holidays each year.
• Discounts – Range of discounts on services, tickets, and gym membership.

Pay & Schedule

• Hybrid position working remote and/or on campus.
• Must live within commuting distance of UT Health San Antonio.
• Required to be onsite for orientation and training upon hire.
• Transition to remote work contingent on meeting productivity and quality standards as determined by supervisor.
• Remote coders may be required to occasionally attend on campus training and meetings.