The University of Texas Medical Branch Sr. Coder - Revenue Cycle Coding - Shearn Moody Plaza in Galveston, Texas
A high school diploma or equivalent and three years of medical billing or related experience, or related training from an accredited agency are preferred. The senior coder must be proficient in coding Inpatient Professional, Outpatient Technical and Professional and Procedures. Must also have experience with training and education for coders and providers in the area of proficiency. CCA, CCS, or CCSP coding certification from AHIMA; or CPCA, CPC, CPCHA coding certification from AAPC.
Properly codes Professional Inpatient, Physician outpatient and technical charges for multiple clinics to ensure accuracy and optimal reimbursement from all third party payers..
Actual salary is commensurate with experience.
Specific Job Related Duties
ESSENTIAL JOB FUNCTIONS:
Works coding related charge review and claim edits daily to ensure timely and accurate billing. The Specialist should also researches and resolve any and all coding related issues, and assists in meeting productivity and quality standards.
Conducts the quality review of outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-9 and CPT codes.
Work all WQ PB/HB errors daily
Educate and offer feedback to physicians and staff as needed to ensure that documentation is complete, accurate, and compliant with guidelines.
Maintain acceptable productivity level and keep Pre/AR at or below departmental standard.
Actively participate in team functions such as team meetings, educational sessions, and team projects.
Adheres to internal controls and reporting structure
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or veteran status. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
Full/Part Time: Full-Time
Job Title: Sr. Coder - Revenue Cycle Coding - Shearn Moody Plaza
Job ID: 52515
Business Unit: FINCE