Coding Specialist III - Outpatient Surgery

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare seeks a skilled coder to join their dynamic team. This role involves coding outpatient accounts using ICD-10 CM and CPT guidelines, ensuring compliance with official coding standards. As a key player in the coding department, you will maintain high-quality standards while mentoring others in the field. The organization is dedicated to employee growth and offers a comprehensive benefits package, including healthcare and paid time off. If you are passionate about coding and looking for a rewarding career in a supportive environment, this opportunity is perfect for you.

Benefits

PPO medical plan

Paid Time Off

Retirement Programs

Tuition Reimbursement

Paid Parental Leave

Wellness programs

Public Service Loan Forgiveness

Qualifications

• 3 years of coding experience in an acute hospital setting required.
• Knowledge of ICD-10 CM and CPT coding guidelines essential.

Responsibilities

• Code outpatient accounts using ICD-10 CM and CPT accurately.
• Maintain quality and productivity standards set by UTSW/HIM Coding.
• Mentor/train on designated coding service lines as needed.

Skills

ICD-10 CM

CPT coding

acute hospital coding

medical necessity documentation

Education

High School Diploma or equivalent

Associate's Degree in Health Information Management

Bachelor's Degree in Health Information Management

Tools

Coding software

Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required

• Education
  High School Diploma or equivalent.

• Experience
  3 years of acute hospital based coding experience or
  An equivalent combination of education and experience may be considered.

• Licenses and Certifications
  (RHIA) REGD HEALTH INFO ADMINIST or
  (RHIT) REGD HEALTH INFO TECHNOLO or
  (CCS) CERT CODING SPECIALIST or
  (COC) Certified Outpatient Coding or
  (CPC) CERT PROFESSIONAL CODER or
  AAPC Certified Professional Coder-Hospital (CPC-H) or
  (CIRCC) Cert Inter Rad Cardio Coder

Preferred

• Education
  Associate's Degree in Health Information Management and/or closely related field or
  Bachelor's Degree in Health Information Management and/or closely related field

• Experience
  Experience working in a remote environment preferred; required for PRN Coders.

Day Surgery and/or ED coding (facility)

JOB DUTIES

• Responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions.
• Accurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits.
• Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.
• May be assigned to review accounts in the denials work queues and make recommendations to the Coding Manager.
• a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available.
• Maintain the Quality and Productivity Standards set by UTSW/HIM Coding.
• Mentor/train on designated coding service lines as requested to ensure quality.
• Maintains an expert level of knowledge of coding related guidelines and practices.
• Other duties as assigned

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.

EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.