Medical Coder

The Harris Center for Mental Health and IDD; Houston (TX); On-site; USD 48,000 - 64,000; Full time

Job summary

The Harris Center for Mental Health and IDD in Houston, TX seeks an experienced Medical Coder to support revenue management. The coder will review records, assign CPT/HCPCS/ICD-10-CM codes, and ensure accurate billing for professional services.

Under supervision, responsibilities include coding accuracy, documentation audits, and collaboration with providers to resolve discrepancies while staying compliant with coding guidelines.

Qualifications

• Minimum of one year of experience as a Medical Coder.
• Knowledge of medical insurance and revenue cycle processes.
• Ability to review medical records and assign CPT, HCPCS, ICD-10-CM codes.

Responsibilities

• Accounts for coding and abstracting patient encounters, including diagnostic and procedural information.
• Extracts relevant information from patient records and liaises with providers to clarify information.
• Examines documents and electronic health records for missing information and corrects as needed.
• Assigns CPT, HCPCS, ICD-10-CM codes and DRG codes for reimbursement and compliance.
• Audits documentation to validate coding supports services rendered for billing and reporting purposes.
• Maintains current knowledge of coding guidelines and participates in provider coding reviews as requested.

Skills

Medical coding knowledge

Attention to detail

Data entry proficiency

Communication skills

Education

High School Diploma or GED

AAPC or AHIMA coding certification

Tools

Microsoft Office

Electronic Health Records (EHR)

Job description

Brief Description

The Harris Center for Mental Health and IDD, known as \"The HARRIS CENTER,\" is seeking an experienced Medical Coder to join our team. Under the direction of Director of Revenue Management, the Medical Coder utilizes knowledge of insurance regulations, health insurance contracts, and medical coding to perform a variety of revenue cycle support activities. Additionally, the medical coder is responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician selected CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical records to accurately optimize all professional services documented for billing.

Your Role In Action

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.


• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information.


• Examines documents and electronic health records for missing information; corrects information as needed.


• Assigns CPT, HCPCS, ICD-10-CM, and DRG codes.


• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.


• Researches and analyzes data needs for reimbursement.


• Analyzes medical records and identifies documentation deficiencies.


• Reviews and verifies documentation supports diagnoses, procedures and treatment results.


• Identifies diagnostic and procedural information.


• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.


• Ensures compliance with medical coding policies and guidelines; understands the application of each code set


• Maintains current knowledge regarding coding and diagnostic procedures


• Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested


• Follows coding conventions.


• Serves as resource, subject matter expert, and consultant to other coding staff.


• Identifies discrepancies, potential quality of care, and billing issues.


• Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.

Education

• High School Diploma or General Education diploma


• Coding Certification from AAPC or AHIMA

Experience

• Minimum of one (1) year work experience as a Medical Coder

Knowledge Skills And Abilities

• Knowledge of general accounting principles, revenue cycle processes, medical insurance, and associated regulations.


• High degree of accuracy and attention to detail


• Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data; proficient in data entry.


• Customer service orientation and negotiation skills, including the ability to interface with third party payers


• Excellent communication skills, both verbal and written


• Proficient computer skills, including Microsoft Office applications


• Proficient in using Electronic Health Records

The Harris Center is the state-designated Local Mental Health Authority and Local Intellectual and Developmental Disability (IDD) Authority serving Harris County, Texas. As the largest behavioral and developmental disability care center in Texas, The Harris Center provides care to over 90,000 people and has an annual budget of over $300 million.

As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The Harris Center provides a full continuum of services at 80 different sites across Harris County. In addition, services are provided in more than 40 different languages as well as sign language in order to better serve what is one of the largest communities in the nation.

By utilizing the unique expertise of its more than 2,500 employees, The Harris Center is committed to meeting the behavioral health and IDD needs of Harris County residents and giving them hope to live to their fullest potential.

What Else You Should Know

• This posting is associated with position #1333.

What We Have To Offer

The Harris Center not only offers a competitive salary but also a suite of excellent benefits designed to enrich your life both professionally and personally. Imagine a future with a robust retirement plan complemented by our generous company matching - a testament to our investment in your long-term financial well-being. Experience the unique advantage of our prior service credit, accelerating your journey towards a more substantial Paid Time Off accrual, empowering you to enjoy well-deserved breaks.

Enjoy Cell Phone Discounts, exclusive entertainment deals through Tickets at Work, and a free Headspace subscription for mental wellness. Additionally, our Employee Assistance Program supports your overall well-being.

Take advantage of significant financial relief through student loan forgiveness as a valued member of The Harris Center team. As a qualifying entity, our employees are eligible for various student loan forgiveness programs, designed to alleviate the financial burdens associated with higher education.

Contributes to suicide care and prevention by embracing our values and applying a trauma-informed approach rooted in safety, trust, choice, collaboration, and empowerment.