Outpatient Coding & QA Trainer — Remote & Flexible

Harris Health; Houston (TX); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Harris Health seeks an experienced outpatient coder to perform in-depth reviews of coded records and ensure accuracy for proper reimbursement. You will educate staff and act as an advisor on coding compliance within a large health system.

Responsibilities include reviewing ICD-9-CM and CPT-4 coding, ensuring documentation supports codes, and monitoring claim edits for timeliness and quality. Strong knowledge of AMA, CMS, HIPAA is required.

Qualifications

• CCS/CCS-P and/or CPC/CPC-H credential required
• RHIA/RHIT credential preferred
• 5+ years outpatient coding experience required
• 2+ year(s) outpatient auditing experience preferred
• 3M encoder interfaced with EPIC EMR billing system
• Knowledge of AMA, CMS, ICD-9-CM, AHIMA and AAPC guidelines

Responsibilities

• Review internally and externally coded outpatient records to determine completeness and accuracy of ICD-9-CM coding and CPT-4/HCPCS coding
• Ensure codes are supported by clinical documentation for appropriate reimbursement
• Provide ongoing education to coders, physicians, and staff; serve in an advisory role for coding compliance
• Monitor timeliness and appropriateness of claim edit responses and report findings

Skills

Medical coding

Education

CCS/CCS-P and CPC/CPC-H credentials

RHIA/RHIT preferred

Tools

EPIC

Job description

Harris Health seeks an experienced outpatient coder to perform in-depth reviews of coded records and ensure accuracy for proper reimbursement. You will educate staff and act as an advisor on coding compliance within a large health system.

Responsibilities include reviewing ICD-9-CM and CPT-4 coding, ensuring documentation supports codes, and monitoring claim edits for timeliness and quality. Strong knowledge of AMA, CMS, HIPAA is required.