Coder III Specialty Outpatient - Full Time - Remote

Texas Health Resources; Texas; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

401k

PTO

Medical insurance

Dental insurance

Paid Parental Leave

Tuition reimbursement

Student Loan Repayment Program

Job summary

Texas Health Resources, Inc. is seeking a Coder III (Outpatient Specialty) for a 100% remote role. The candidate will perform complex outpatient surgical coding across disciplines, using ICD-10-CM and CPT, and will query physicians when needed to ensure accurate billing.

Requirements include an RHIA or RHIT, CCS, COC, CPC, and CVIRCC credentials, plus 3 years of outpatient coding experience in acute care settings. Flexible hours and strong work-life balance are highlighted.

Qualifications

• Associate's Degree Health Information Management, Healthcare, Business or related field REQUIRED or H.S. Diploma or Equivalent 2 Years Coding experience in lieu of degree REQUIRED
• 3 Years Acute care hospital outpatient surgical coding experience REQUIRED and 2 Years Education/Audit Reviews - such as E/M or other relatable or Mentor/New Coder Review Training performed preferred
• RHIA - Registered Health Information Administrator AHIMA Upon Hire REQUIRED
• RHIT - Registered Health Information Technician AHIMA Upon Hire REQUIRED
• CCS - Certified Coding Specialist AHIMA Upon Hire REQUIRED
• COC - Certified Outpatient Coder AAPC Upon Hire REQUIRED
• CPC - Certified Professional Coder AAPC Upon Hire REQUIRED
• Other AAPC - CVIRCC Upon Hire Required
• Proficient in coding and EHR software. Expert knowledge of ICD-10-CM and CPT, modifiers. Expert in NCCI/OCE billing edits; regulatory/payer requirements associated with coding and documentation.

Responsibilities

• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD 10 CM/CPT codes for proper billing of higher dollar, higher risk, complex outpatient surgical accounts which could include GI, Interventional Radiology(CVIR), Spines, Wound Care or other identified higher complexity outpatient surgical cases.
• Abstracts and compiles clinical data elements such as attending physician, surgeon, etc. according to THR guidelines.
• Queries the physicians/surgeons when the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.
• Demonstrates and maintains adequate production, accuracy and quality metrics per THR job description
• Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in coding clinic/CPT Assistant.

Skills

ICD-10-CM

CPT coding

NCCI/OCE

EHR software

Regulatory knowledge

Mentoring/Coaching

Education

RHIA

RHIT

CCS

COC

CPC

CVIRCC

Tools

EHR systems

Job description

Coder III (Outpatient Specialty)

Are you looking for a rewarding career with a top-notch healthcare company? We are looking for qualified Coders like you to join our Texas Health Family

• Work location: Remote
• Work hours: Monday through Friday, generally 8:00 am to 4:30 pm but some flexibility on hours

HIMS Coding Department Highlights:

• 100% remote work
• Flexible hours/scheduling
• Terrific work/life balance

Here’s What You Need

Education

• Associate's Degree Health Information Management, Healthcare, Business or related field REQUIRED or H.S. Diploma or Equivalent 2 Years Coding experience in lieu of degree REQUIRED

Experience

• 3 Years Acute care hospital outpatient surgical coding experience REQUIRED and 2 Years Education/Audit Reviews - such as E/M or other relatable or Mentor/New Coder Review Training performed preferred or 2 Years Specialty/Complex acute care OP surgical coding (for example: interventional radiology(CVIR), GI/Endo, Wound Care, Spine/Hands/Feet) preferred

Licenses and Certifications

• RHIA - Registered Health Information Administrator AHIMA Upon Hire REQUIRED
• RHIT - Registered Health Information Technician AHIMA Upon Hire REQUIRED
• CCS - Certified Coding Specialist AHIMA Upon Hire REQUIRED
• COC - Certified Outpatient Coder AAPC Upon Hire REQUIRED
• CPC - Certified Professional Coder AAPC Upon Hire REQUIRED
• Other AAPC - CVIRCC Upon Hire Required

Skills

Proficient in coding and EHR software. Expert knowledge of ICD-10-CM and CPT, modifiers. Expert in NCCI/OCE billing edits; regulatory/payer requirements associated with coding and documentation. Demonstrates strong decision making, problem solving and advanced critical thinking skills. Strong research capabilities. Ability to communicate in a clear and concise manner - both written and oral. Possess a personal intiative to keep abreast of new coding updates/technology and regulatory data. Ability to adjust to changing priorities according to business needs. Ability and willingness to mentor/coach/precept newly promoted or entry level coders. Serves as an SME for outpatient processes and workflows.

What You Will Do

• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD 10 CM/CPT codes for proper billing of higher dollar, higher risk, complex outpatient surgical accounts which could include GI, Interventional Radiology(CVIR), Spines, Wound Care or other identified higher complexity outpatient surgical cases.
• Abstracts and compiles clinical data elements such as attending physician, surgeon, etc. according to THR guidelines.
• Queries the physicians/surgeons when the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.
• Demonstrates and maintains adequate production, accuracy and quality metrics per THR job description
• Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in coding clinic/CPT Assistant.

Additional perks of being a Texas Heath Coder III (Specialty Outpatient)

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• A supportive, team environment with outstanding opportunities for growth.
• Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.
• Do you still have questions or concerns? Feel free to email your questions to [e-mail].

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