Senior DRG Coder - RCO Coding (Remote)

About the role

To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.

Responsibilities

• Selects records from EPIC WQ according to priority.
• Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures.
• Correctly assigns ICD-10-CM diagnoses and ICD-10-PCS procedure codes and enters appropriate codes into EPIC Encoder.
• Identifies responsible staff and resident physicians for each procedure coded.
• Protects confidentiality of patient information.
• Participates in section meetings and office in-services.
• Attends and participates in coding education sessions.
• Keeps coding knowledge and skills current through continuing education and reviewing pertinent literature.
• 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.
• Responsible for productivity and quality standards to adhere with coding compliance and federal regulations.

Requirements

• Three years of related experience.
• DRG & PCS coding experience.
• Experience communicating, training, and educating providers in proficiency.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology, and medical abbreviations.

Required Licenses, Registrations, or Certifications

• CCS – Certified Coding Specialist (AHIMA)
• RHIA – Registered Health Information Administrator (AHIMA)
• RHIT – Registered Health Information Technician (AHIMA)

Skills

• Strong interpersonal, written, and oral communication skills.
• Proficient in inpatient coding with the ability to audit and provide education to providers and coders.

Working Environment / Equipment

• Standard office environment at UTMB’s main campus or other location.
• Occasional travel may be required.
• Standard office equipment.

Schedule

Remote, full-time position with flexible working hours.