Professional Fee Coder II

About the role

The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations. The ideal candidate will have good organizational, communication and critical thinking skills. This position is located at Greenway Plaza with opportunities to telecommute.

Responsibilities

• Reviews and accurately resolves NCCI, LCD, NCD, and MUE edits as well as other payer specific coding edits.
• Assigns appropriate modifiers to charges for clean claim submission.
• Utilizes the encoder to review and/or assign ICD-10-CM, CPT, and HCPCS Level II codes on charges.
• Accurately abstracts from medical records all CPT, ICD-10 and HCPCS codes for procedures and surgeries.
• Audits physician assigned evaluation and management CPT codes for accuracy and documentation compliance.
• Reviews coding denials and resolves issues in conjunction with the collections team.
• Participates in physician education regarding coding and billing topics.
• Keeps abreast of changes to ICD_10, CPT and HCPCS coding and communicate changes with providers and management.
• Provides training to entry level coders in coding and working Epic edits.
• Performs other job-related duties as assigned.

Qualifications

• High school diploma or GED.
• Three years of relevant experience.
• Certified Coding Specialist – Physician-based (CCS-P) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).
• Preferred: Anesthesia experience.
• Preferred: Proficiency in Microsoft Office, Excel, Epic EHR and Citrix portal.
• Work authorization: Position not eligible for visa sponsorship; candidates must be legally authorized to work in the United States at time of application and throughout employment.