Coder 2

Salem Health Hospitals & Clinics; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Baylor Scott & White Health seeks a skilled Coder 2 to perform outpatient and low acuity inpatient coding using ICD-10-CM/PCS, CPT, and HCPCS references. The role requires accuracy in coding and data abstraction for professional and facility services.

Responsibilities include auditing documentation, communicating with providers for missing data, and ensuring timely, compliant coding aligned with revenue cycle processes. The ideal candidate has strong coding knowledge and attention to detail.

Qualifications

• HS Diploma or GED required.
• Minimum 2 years of coding experience.
• Must have one of the following coding certifications: CCS, CCS-P, CIC, CIRCC, COC, CPC, RHIA, RHIT.

Responsibilities

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and education as needed.
• Reconciles billing issues by formulating rationale for rejecting and correcting inaccurate charges.
• Works with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

Skills

Attention to detail

Communication with providers

Documentation interpretation

Education

High school diploma or GED

2 years coding experience

Tools

ICD-10-CM/PCS

CPT

HCPCS

EHR systems

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data.

Essential Functions of the Role

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

Key Success Factors

• Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
• Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience
• Must have ONE of the following coding certifications: Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT).
• Cert Coding Specialist (CCS)
• Cert Coding Specialist-Physician (CCS-P)
• Cert Inpatient Coder (CIC)
• Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
• Cert Professional Coder (CPC)
• Reg Health Info Administrator (RHIA)
• Reg Health Information Technician (RHIT).