Coder - RCO Coding (Remote)

DaMar Staffing; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

UTMB Health is seeking a Coder for RCO Coding (Remote) in Galveston, Texas. The role codes and audits inpatient and professional services, ensuring accurate reimbursements across specialties. Remote work Mon-Fri with standard coding duties and ongoing education.

Requires two years of medical billing experience or equivalent training, AHIMA/AAPC certifications, and knowledge of ICD-10-CM/CPT coding guidelines. Strong communication and attention to detail are essential for timely, compliant claims.

Qualifications

• Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency.
• Outpatient women's and pediatric coding experience preferred.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

Responsibilities

• Reviews documentation in EPIC and/or on paper to assign ICD-10-CM, PCS and CPT codes.
• Communicates with education team/provider for documentation clarification or missing elements for coding.
• Uses encoder/Optum software to assign ICD-10-CM, ICD-PCS and CPT codes for diagnoses and procedures.
• Sequences diagnoses and procedures to generate clean claims per Coding Guidelines.
• Verifies ADT information on charge sessions for accuracy and completeness.
• Attends and participates in coding education sessions and CEU requirements.
• Works daily on coding charge reviews/claim edits to meet deadlines.
• Maintains productivity and quality standards per coding compliance and regulations.
• Handles PB/HB claim edits and hospital DNBs per specialty as assigned.
• Performs charge reconciliation to ensure services are captured timely.

Skills

ICD-10-CM coding

CPT coding

Medical terminology

Communication

Attention to detail

Tools

EPIC

Optum Encoder

Job description

Coder - RCO Coding (Remote)

Galveston, Texas, United States

Business, Managerial & Finance

UTMB Health

Requisition # 2604701

EDUCATION & EXPERIENCE:

Minimum Qualifications:

• Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency.

Preferred Qualifications:

• Outpatient women's and pediatric coding experience preferred.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:

One of the following:

• CCA - Certified Coding Associate (AHIMA) or
• CCS - Certified Coding Specialist (AHIMA) or
• CCS-P - Certified Coding Specialist - Physician Based (AHIMA) or
• RHIA - Registered Health Information Administrator (AHIMA) or
• RHIT - Registered Health Information Technician (AHIMA)
• CIC - Certified Inpatient Coder (AAPC) or
• COC - Certified Outpatient Coder (AAPC) or
• CPC - Certified Professional Coder (AAPC) or
• CPC-A - Certified Professional Coder - Apprentice (AAPC) or
• CRC - Certified Risk Adjustment Coder (AAPC)

JOB SUMMARY:

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

ESSENTIAL JOB FUNCTIONS:

• Reviews documentation in EPIC and/or on paper as provided 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 for documentation clarification or missing elements in the medical record.
• Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
• Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
• Verifies all ADT information is correct on all charge sessions; 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 CEU's for certification and completes any required education.
• Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
• Work all PB/HB claim edits and reject errors daily.Hospital DNB's will be worked as assigned per Specialty.
• Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
• Adheres to internal controls and reporting structure.

Marginal or Periodic Functions:

• Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES:

• Strong written and oral communication skills.

WORKING ENVIRONMENT/EQUIPMENT:

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

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Remote, Monday through Friday, Full-Time Position.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

Compensation