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Certified Coder (Virtual/Remote) at UTHealth in Houston, Texas

Posted in General Business 30+ days ago.

Type: Full-Time

Job Description:

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

UTHealth Houston is hiring for a Certified Coder to join their team of professionals in our Revenue Cycle Coding & Charge Capture department. The Certified Coder will be responsible for: reviewing and resolving edits in Epic; coding diagnostic radiology charges in CodeRyte; and more. Radiology experience is a plus!

Location: 1851 Crosspoint Avenue, Houston, Texas 77054 for 2 weeks or less for training then Virtual/Remote. Must live in Texas (TX)

Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:

  • 100% paid medical premiums for our full-time employees
  • Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
  • The longer you stay, the more vacation you'll accrue!
  • Longevity Pay (Monthly payments after two years of service)
  • Build your future with our awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...

  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Other employee discounts including entertainment, car rentals, cell phones, etc.
  • Resources for child and elder care
  • Plus many more!

Position Summary:

Reviews, determines accuracy of and applies the correct coding conventions to patient charge encounters, procedural and surgical services, as defined through physician documentation, regulatory agencies and various third-party payers. Provides general and specialty-specific education related to physician coding/compliance, non-physician practitioner coding/compliance and appropriate coding convention, both individually and to collective groups.

Position Key Accountabilities:

1. Identifies the correct coding applications utilizing standardized coding conventions required for the patient charge encounters when reviewing physician generated codes, ensuring compliance with regulatory agencies, correct coding initiatives and regulatory guidelines for clinical documentation.
2. Identifies and reports correct code selection from physician documentation, to include, but not be limited to; chart notes, abstracting from medical records documentation, medical diagnostic and/or interventional reports, ensuring compliant coding selections are reported.
3. Reconcile charge ticket against patient schedules.
4. Ensure that patients are charged for all procedures via encounter forms.
5. Identify trends and provide feedback to medical staff, supervisors, and administrative staff.
6. Act as knowledge expert to service provider through familiarity with coding conventions.
7. Partner with providers to inform of new coding conventions, changes in current coding conventions, and provide feedback on the providers coding practices.
8. May include data entry of codes.
9. May include entry and confirmation of patient demographic information.
10. May provide education and training at the guidance of the Reimbursement Operations Manager.
11. May assist with account follow-up and resolution of claim denials.


* Certified Professional Coder (CPC) by the American Academy of Professional Coders or
* Certified Coding Specialist-Physician (CCS-P) by the American Health Information Management Association or
* Registered Health Information Administrator (RHIA)/ Registered Health Information Technician (RHIT) by the American Health Information Management Association.

*Must complete certification within 12 months of employment at UTHSC-H. Monitoring of certification is department's responsibility.

Minimum Education:

High School Diploma or equivalent

Minimum Experience:

Three years of coding experience.
May substitute required experience with equivalent years of education beyond the minimum education requirement.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.

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