Job type full-time
Full job description
Location: houston methodist specialty physician group
Houston, tx 77030
Job type: full-time
Work week: remote
Posted date: april 12, 2022
At houston methodist, the coding specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical environmentThe coding specialist abstracts diagnosis and procedural services from the physician record and reviews and corrects charge review and claim edit related coding errors in the electronic health record.
This job can work remotley in the houston metropolitan area
Primary job responsibilities
Job responsibilities labeled ef capture those duties that are essential functions of the job.
People - 20%
Communicates regularly with physicians and physician organization central business office (po cbo) staff on clarification to accurately code diagnosis and procedures(ef)
Communicates any issues or pertinent information to the supervisor in a timely manner that impact diagnosis or coding charges(ef)
Provides support to other team members as advised by the manager and/or supervisor(ef)
Service - 25%
Responds to or clarifies internal requests from all business partners for medical coding information in a timely manner(ef)
Participates in coding round tables and in-services for continuing education.
Cross trains and provides back up coverage of team members to ensure continuous coding and charge capture activities for po departments(ef)
Quality/safety - 20%
Codes and abstracts medical records for reimbursement purposes from patient charts, physician documentation, and medical diagnostic and/or interventional reports using current coding conventions and guidelines and tools such as 3m encoder(ef)
Reviews and resolves coding claim edits(ef)
Finance - 25%
Matches charge documents to charge review & claim edit sessions, billing sheets, operative reports, and medical records to ensure correct codes are applied and billable services are captured(ef)
Works charge review and claim edit sessions within two business days of posting to the assigned work queues(ef)
Completes charge reconciliation assignments within the expected timeframe(s)(ef)
Growth/innovation - 10%
Remains current on coding guidelines and regulations of various payors and specialty practices as directed by the supervisor and/or manager.
Suggests front end coding charge review edits to manage and reduce the volume of back end coding related denials.
Participates in educational activities and attends scheduled accounts receivable (ar) risk assessment meetings as needed(ef)
This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assignedHouston methodist reserves the right to revise job duties and responsibilities as the need arises.
O high school diploma or equivalent education (examples include: ged, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
O completion of a coding certificate program
Certifications, licenses and registrations required
O certified professional coder (cpc) through the american academy of professional coders (aapc) or certified coding associate (cca) through the american health information management association (ahima); or an approved specialty society coding certification
Knowledge, skills and abilities required o demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations o sufficient proficiency in speaking, reading, and writing the english language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security o ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles o knowledge of icd-10, cpt, and hcpcs coding conventions o working knowledge of medical terminology, anatomy, and physiology o proficiency with microsoft office applications such as word and excel o must be a self-motivated individual with the ability to think critically and work independently o must have the ability to multi-task in a fast paced rapidly changing healthcare environment o demonstrates a high level of professionalism, customer service, and interpersonal skills and operates under strict confidentiality guidelines
Work attire yes/no uniform no scrubs no business professional yes other (dept approved) no
On-call* no (for non-exempt or exempt jobs)
Note that employees may be required to be on-call during emergencies (ieDisaster, severe weather event, etc) regardless of selection above.
Travel** may require travel within yes houston metropolitan area
May require travel outside no of houston metropolitan area
**travel specifications may vary by department.
Please note any other special considerations to this job: __________________________
Houston methodist specialty physician group - as one of the nation’s leading hospitals and academic medical centers houston methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patientsAs part of houston methodist specialty physician group (hmspg), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrowThis combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient careEstablished as a non-profit corporation and certified by the texas state board of medical examiners, hmspg enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.
Posted 30+ days ago