Hospital - OP Coder, Senior

UT Health San Antonio; San Antonio (TX); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

FSAs

Retirement plan

Paid time off

Holidays

Job summary

UT Health San Antonio seeks an Outpatient Coder-Senior to conduct quality reviews of outpatient coding for compliance with regulatory standards and coding guidelines. You will interpret records, assign CPT/ICD-10-CM/HCPCS codes, and mentor staff on workflows.

Ideal candidates have at least five years in medical records abstraction and coding in acute care, with EPIC and 3M encoder experience preferred. Remote and office environment skills appreciated as part of a busy hospital setting.

Qualifications

• Knowledge of Official Guidelines for coding and reporting.
• Knowledge of medical terminology, human anatomy, physiology and pharmacology.
• Knowledge of disease pathology.
• Knowledge of CPT, ICD-10-CM, HCPCS coding systems.
• Ability to code surgical and observation encounters.
• Familiarity with office equipment and a remote/office environment.
• Proficiency with coding, billing, and abstracting software.
• Ability to troubleshoot basic technical issues in remote/office settings.

Responsibilities

• Conduct quality reviews of outpatient coding for compliance with regulations.
• Interpret and assign diagnostic and procedural codes per coding principles.
• Mentor and train new coders on workflows and applications.
• Maintain confidentiality and adhere to UT Health San Antonio policies.
• Work under supervision of Coding Operations Manager in a hospital setting.

Skills

Guidelines knowledge

Medical terminology

Anatomy & physiology

Pathology knowledge

CPT/ICD-10-CM/HCPCS

Surgical/observation coding

Office/coding software

Troubleshooting remote tech

Education

HS Diploma or GED

Tools

EPIC

3M encoder

Job description

Job Description

The Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the Coding Operations Manager in a hospital setting.

Qualifications

• Knowledge of Official Guidelines for coding and reporting.
• Knowledge of medical terminology, human anatomy, physiology and pharmacology.
• Knowledge of disease pathology
• Knowledge of Current Procedural Terminology coding (CPT), ICD-10-CM, and Healthcare Common Procedure Coding System (HCPCS)
• Ability to code surgical and observation patient encounters.
• Knowledge of operating ordinary business equipment in a remote and office environment such as computer, keyboard, telephone.
• Ability to work effectively in and navigate between common office software, coding software, billing software and abstracting systems.
• Knowledge of coding resources and demonstrated proficiency in using resources.
• Ability to troubleshoot basic technical issues in the remote and office environment.
• Additional Qualifications:

Education

HS Diploma or GED

Preferred

Hospital experience with Infusion, Surgery, Observation Surgery, Surgical Spine competencies, Interventional experience, back-end edit resolution.

Required Skills

Minimum of five (5) years of experience in medical records abstraction and coding in an acute care setting is required. EPIC and a 3M encoder software experience is preferred.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence - advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America's Best Employers for Company Culture.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical

UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental

Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision

Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability

Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs

Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement

Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off

A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts

Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.