Coding Specialist III - Outpatient (PRN) at UT Southwestern Medical Center

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Mar, 26

Salary

0.0

Posted On

21 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-10 CM Coding, CPT Coding, Medical Necessity, Data Abstraction, Quality Standards, Mentoring, Coding Guidelines, Documentation Review, Physician Query, Denials Management, Healthcare Coding, Outpatient Coding, Health Information Management, Coding Certifications, Acute Hospital Experience, Remote Work Experience

Industry

Higher Education

Description

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100%25 coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required Education High School Diploma or equivalent. Experience 3 years of acute hospital-based coding experience or An equivalent combination of education and experience may be considered. Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (COC) Certified Outpatient Coding or (CPC) CERT PROFESSIONAL CODER or AAPC Certified Professional Coder-Hospital (CPC-H) or (CIRCC) Cert Inter Rad Cardio Coder Preferred Education Associate's Degree in Health Information Management and/or closely related field or Bachelor's Degree in Health Information Management and/or closely related field Experience Experience working in a remote environment preferred; required for PRN Coders ED and/or Wound Care/Pain Management/Rad procedures coding experience is preferred JOB DUTIES Responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions. Accurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits. Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data. May be assigned to review accounts in the denials work queues and make recommendations to the Coding Manager. a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available. Maintain the Quality and Productivity Standards set by UTSW/HIM Coding. Mentor/train on designated coding service lines as requested to ensure quality. Maintains an expert level of knowledge of coding related guidelines and practices. Other duties as assigned SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Responsibilities

The Coding Specialist III is responsible for coding outpatient accounts using ICD-10 CM and CPT codes while ensuring compliance with coding guidelines. They also mentor and train others, maintain quality and productivity standards, and review accounts for denials.