What are the responsibilities and job description for the Professional Coder II - Revenue Cycle position at UTHealth?
Professional Coder II - Revenue Cycle
Location : Houston, Texas
Category : Professional / Managerial
McGovern Medical School at UTHealth Houston
Requisition # : 240003D9
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.
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 :
The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT / HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient / outpatient E / M encounters including office or hospital outpatient procedures, radiology and emergency department visits.
UTHealth is hiring for a Professional Coder II to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding ACTAT and resolving edits. Cardiology coding experience and familiarity with Epic are a plus!
Department : Revenue Cycle
Status : Full-time
Location : Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) meetings, additional training, etc.).
Must live in Texas (TX) This is a Remote position, and you must reside in Texas
Must also be able to attend any required onsite meetings
We DO NOT provide lodging or mileage reimbursement for training
Position Key Accountabilities :
Resolves edits and assigns diagnosis and procedure codes.
Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits.
Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes / modifiers ensuring compliance with all applicable guidelines.
Approves and assigns ICD-10 and CPT codes suggested within Code Ryte CAC application for Radiology and Emergency Medicine services.
Reviews and assigns ICD-10 and CPT codes for office and hospital EM services including Critical Care, bed side and other less complex procedures.
Generates basic physician queries in accordance to established procedures.
Provides feedback and education as required.
Confirms that all applicable UTHealth and Coding Guidelines are being followed when resolving edits.
Performs charge entry of professional services including but not limited to non-invasive tests, anesthesia, hospital or office-based visits.
Abstracts information needed for billing of ancillary procedures or other outpatient services.
Resolves any applicable system errors during charge entry.
Performs charge reconciliation when applicable to the department via logs, visit schedules, and other reports.
Meets the required coding quality and productivity expectations per department policy and procedure.
Completes all education assigned by the Charge Capture and Coding department in collaboration with Clinical Documentation Improvement (CDI).
Stays up-to-date with all federal, state, coding & departmental guidelines and procedures.
Performs other duties as assigned.
Certification / Skills :
RHIA - Registered Health Information Administrator required or
RHIT - Registered Health Information Technician required or
CCS-Certified Coding Specialist required or
Certified Coding Specialist ¿ Physician-based (CCS-P) required or
Certified Professional Coder (CPC) required or
Radiology Coding Certification (RCC) required
Analytical skills, ability to interpret data, and maintain spreadsheets.
Knowledge of ICD-10 CM and CPT coding conventions
Proficiency in Microsoft Office suite, the ability to abstract data and maintain a database required
High level understanding of all federal / government regulations, coding guidance and the revenue cycle policies and procedures.
Effective verbal and written communication between internal and external customers.
Excellent time management skills required.
Self-motivated and able to work independently without close supervision.
Ability to work effectively under pressure due to changing priorities, interruptions, and workload variability.
Minimum Education :
High School Diploma or equivalent required.
Minimum Experience :
3 years experience in Health Information Management (HIM) coding required
Clinic or hospital E / M coding preferred
Clinic and hospital outpatient-based procedures preferred
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.
If you are looking for a great healthcare career in Houston, !
University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.
UTHealth Benefits
UTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.
Equal Employment Opportunity Statement
UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.
UTHealthHoustonhas adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19. This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S. Dunn Behavioral Science Center.
In addition, all UTHealthHoustonemployees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’sHoustonrules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination and safety requirements.
Work location is based on the needs of the department and may be adjusted.
