Remote Coding Specialist II - ICD-10/CPT Expert

Parkland Health; Dallas (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Parkland Health is seeking a Coding Specialist II to code and verify charge data for ED, SDS, OPC, OBS, and OB/newborn encounters, with emphasis on accuracy and compliance. The role requires proficiency in ICD-10-CM/PCS, CPT/HCPCS, E/M and HEDIS CAT II, plus knowledge of coding software and EHR systems.

Location is virtual for Texas and select states; the incumbent will provide guidance to staff and ensure proper billing.

Qualifications

• Advance coding and charge review skills understanding the utilization of modifiers and other coding, charging and billing rules to include AMA and other state and federal organizations.
• Advanced knowledge of ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, E/M coding and abstracting, APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage for hospital and professional billing.
• Score a minimum of 80% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.
• Must have knowledge of medical terminology, the human disease process, anatomy and physiology.
• Demonstrate proficiency in coding and encoder skills.
• Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC).
• Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred.

Responsibilities

• Code, abstract and conduct charge quality review on all episodes of care on ED, SDS, OPC, OBS and/or inpatient OB/newborn encounters according to coding conventions, guidelines and hospital policy.
• Assigns appropriate diagnosis and procedures codes utilizing ICD 10-CM/PCS, CPT, HCPCS, HCC and HEDIS CAT II, E/M codes according to CMS requirements for both professional and hospital billing.
• Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
• May verify, edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner.
• Updates patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information.
• Stays abreast of the latest developments in health information management and integrates knowledge into current work practices.
• Identifies ways to improve work processes and customer satisfaction; makes recommendations and implements improvements.
• Facilitate a positive working relationship with physicians, nurses, and staff to ensure productive encounters.
• Maintains knowledge of applicable laws, guidelines and policies; develops internal controls for compliance.
• Maintains CE hours and renews annual coding credentials.
• This position is 100% Virtual; adheres to Parkland policies while working remotely.

Skills

ICD-10-CM/PCS

CPT/HCPCS

E/M coding

HCC

HEDIS CAT II

Anatomy & Physiology

Encoder skills

Epic EHR

3M 360 Coding

Education

High school diploma

Approved coding program

Health Information Management program graduate

AHIMA RHIT/RHIA/CCS/CCS-P/CCA or AAPC CPC/CPC-H/COC certification

Tools

Epic EHR

3M 360 Coding

Job description

Parkland Health is seeking a Coding Specialist II to code and verify charge data for ED, SDS, OPC, OBS, and OB/newborn encounters, with emphasis on accuracy and compliance. The role requires proficiency in ICD-10-CM/PCS, CPT/HCPCS, E/M and HEDIS CAT II, plus knowledge of coding software and EHR systems.

Location is virtual for Texas and select states; the incumbent will provide guidance to staff and ensure proper billing.