Remote Outpatient Coder III – Specialty Expertise

Texas Health Resources, Inc.; Texas; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

401k

PTO

Medical insurance

Dental insurance

Paid Parental Leave

Tuition reimbursement

Student Loan Repayment Program

Job summary

Texas Health Resources, Inc. is seeking a Coder III (Outpatient Specialty) for a 100% remote role. The candidate will perform complex outpatient surgical coding across disciplines, using ICD-10-CM and CPT, and will query physicians when needed to ensure accurate billing.

Requirements include an RHIA or RHIT, CCS, COC, CPC, and CVIRCC credentials, plus 3 years of outpatient coding experience in acute care settings. Flexible hours and strong work-life balance are highlighted.

Qualifications

• Associate's Degree Health Information Management, Healthcare, Business or related field REQUIRED or H.S. Diploma or Equivalent 2 Years Coding experience in lieu of degree REQUIRED
• 3 Years Acute care hospital outpatient surgical coding experience REQUIRED and 2 Years Education/Audit Reviews - such as E/M or other relatable or Mentor/New Coder Review Training performed preferred
• RHIA - Registered Health Information Administrator AHIMA Upon Hire REQUIRED
• RHIT - Registered Health Information Technician AHIMA Upon Hire REQUIRED
• CCS - Certified Coding Specialist AHIMA Upon Hire REQUIRED
• COC - Certified Outpatient Coder AAPC Upon Hire REQUIRED
• CPC - Certified Professional Coder AAPC Upon Hire REQUIRED
• Other AAPC - CVIRCC Upon Hire Required
• Proficient in coding and EHR software. Expert knowledge of ICD-10-CM and CPT, modifiers. Expert in NCCI/OCE billing edits; regulatory/payer requirements associated with coding and documentation.

Responsibilities

• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD 10 CM/CPT codes for proper billing of higher dollar, higher risk, complex outpatient surgical accounts which could include GI, Interventional Radiology(CVIR), Spines, Wound Care or other identified higher complexity outpatient surgical cases.
• Abstracts and compiles clinical data elements such as attending physician, surgeon, etc. according to THR guidelines.
• Queries the physicians/surgeons when the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.
• Demonstrates and maintains adequate production, accuracy and quality metrics per THR job description
• Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in coding clinic/CPT Assistant.

Skills

ICD-10-CM

CPT coding

NCCI/OCE

EHR software

Regulatory knowledge

Mentoring/Coaching

Education

RHIA

RHIT

CCS

COC

CPC

CVIRCC

Tools

EHR systems

Job description

Texas Health Resources, Inc. is seeking a Coder III (Outpatient Specialty) for a 100% remote role. The candidate will perform complex outpatient surgical coding across disciplines, using ICD-10-CM and CPT, and will query physicians when needed to ensure accurate billing.

Requirements include an RHIA or RHIT, CCS, COC, CPC, and CVIRCC credentials, plus 3 years of outpatient coding experience in acute care settings. Flexible hours and strong work-life balance are highlighted.