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

Remote casual appointment (up to 19.99 hours/week) based at UTMB’s main campus in Galveston, Texas. Occasional travel may be required.

About the role

Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services across multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

Responsibilities

• Reviews documentation in EPIC and/or on paper 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 regarding documentation clarification or missing elements in the medical record.
• Utilizes 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 Coding Guidelines based on the type of coding being reviewed.
• Verifies all ADT information is correct on all charge sessions, including 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 CEUs for certification and completes any required education.
• Works coding-related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• Adheres to productivity and quality standards to comply with coding compliance and federal regulations.
• Works all PB/HB claim edits and reject errors daily.
• Works Hospital DNBs as assigned per specialty.
• Performs charge reconciliation to ensure all services provided are captured for coding in a timely manner.
• Adheres to internal controls and reporting structure.

Requirements

• Three years of multi-specialty coding experience.
• Proficient in coding Professional services and/or Outpatient professional and hospital technical services.
• Experience communicating, training, and educating providers in proficiency.
• One of the following certifications:
  • CCA – Certified Coding Associate (AHIMA)
  • CCS – Certified Coding Specialist (AHIMA)
  • CCS-P – Certified Coding Specialist – Physician Based (AHIMA)
  • RHIA – Registered Health Information Administrator (AHIMA)
  • RHIT – Registered Health Information Technician (AHIMA)
  • CIC – Certified Inpatient Coder (AAPC)
  • COC – Certified Outpatient Coder (AAPC)
  • CPC – Certified Professional Coder (AAPC)
  • CPC-A – Certified Professional Coder – Apprentice (AAPC)
  • CRC – Certified Risk Adjustment Coder (AAPC)

Preferred Qualifications

• Women’s and pediatrics inpatient and procedural coding experience.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology, and medical abbreviations.

Skills

• Strong written and oral communication skills.

Working Environment

• Standard office environment at UTMB’s main campus or other location.
• Standard office equipment.