Medical Records Coder-Intermediate

uthscsa.edu; San Antonio (TX); Hybrid; USD 55,000 - 70,000; Full time

Job summary

UT Health San Antonio is seeking a skilled Medical Coder to review inpatient and outpatient records, assign diagnoses and procedures, and ensure coding compliance with regulations. You will work with ICD-10 and CPT codes, review charge edits, and support accurate billing.

The role requires attention to detail and strong communication to coordinate with internal teams and external facilities. The position emphasizes coding accuracy, documentation review, and adherence to coding guidelines, with

Qualifications

• Proficiency in ICD-10 and CPT coding.
• Fundamental understanding of medical terminology, anatomy and physiology.
• Meticulous attention to detail and accuracy.
• Customer service acumen and interpersonal skills to work with internal and external customers.
• Strong verbal, written and interpersonal communication skills.
• High school diploma or GED is required.
• Three (3) years experience in medical record abstraction and coding is required.

Responsibilities

• Review, interpret, and assign diagnostic and procedural codes from medical records using ICD-10 and CPT.
• Provide technical work in documentation and coding for medical billing and abstracts.
• Review coding-related charge reviews and claim edits to ensure timely billing.
• Research and resolve coding issues and support productivity and quality standards.
• Verify charge entries and physician notes for completeness and accuracy; abstract essential data.
• Review medical records and charge information from patient care areas.
• Contact other facilities to obtain records needed to bill for services.
• Review EPIC queues and adjust coding edits as required.
• Code diagnoses and procedures using the appropriate classification systems.
• Perform other duties as assigned.

Skills

ICD-10 and CPT coding

Medical terminology

Attention to detail

Customer service

Verbal and written communication

Education

High school diploma or GED

Tools

EPIC

Job description

Under general supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.

Responsibilities

• Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
• Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
• Works coding related charge review and claim edits daily to ensure timely and accurate billing.
• Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
• Verifies charge entry and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
• Review medical records and charge fee information from patient care area.
• Contacts other facilities to obtain medical records and information needed to bill for services rendered.
• Reviews EPIC queues and correct coding edits.
• Codes diagnosis and procedures using classification coding systems.
• Performs all other duties as assigned.

Qualifications

• Proficiency in ICD-10 and CPT coding.
• Fundamental understanding of medical terminology, anatomy and physiology.
• Meticulous attention to detail and accuracy.
• A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
• Strong verbal, written and interpersonal communication skills.

Education

• High school diploma or GED is required

Required Skills

• Three (3) years experience in medical record abstraction and coding is required.

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

Job Info

• Job Identification 7885
• Job Category Clinical Programs & Services
• Posting Date 09/02/2026, 06:47 PM
• Locations 0126 8431 Fredericksburg Rd, San Antonio, TX, 78229, US (On-site)
• Job Schedule Full time
• Organization M3113 - UTHP ADM Coding Support, M3100 - UTHP UT Health Physicians, M1000 - Dean Medical School, UT Health Science Center, UT Health Science Center
• Department M3113 - UTHP ADM Coding Support