Job Details

Coding Specialist III

Job Number: 528882
Categories: Administrative / Clerical Support
Location:
Dallas, TX

Department: University Hospitals
Full/Part Time/PRN: PRN
Regular/Temporary: Regular



Security


This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information


Salary


Salary Negotiable


Experience and Education


- Preferred Bachelor's Degree or Associate Degree in Health Information Management and/or closely related field- Required three to five (3-5) years acute hospital based coding experience. An equivalent combination of education and experience may be considered. Experience working in a remote environment preferred; required for PRN Coders.- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Professional Coder-Hospital (CPC-H), or Certified Interventional Radiology Cardiovascular Coder (CIRCC)

Job Duties


Inpatient Coder - 1. Responsible for coding concurrent or retrospective inpatient accounts using ICD-10 CM/PCS, in compliance with the Official Coding Guidelines and conventions.
Outpatient Coder - 1. Responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions.
Outpatient Coder - 2. 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.
Outpatient Coder - 2. 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.
Inpatient Coder - 3. Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), and other designated data.
Outpatient Coder - 3. Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.
Inpatient Coder - 4. a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Completes review and final coding when query and/or documentation is available.
Outpatient Coder - 4. 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.
Inpatient & Outpatient Coders - 5. Maintain the Quality Standards set by UTSW/HIM Coding.
Inpatient & Outpatient Coders - 6. Maintain the Productivity Standards set by UTSW/HIM Coding.
7. Mentor/train on designated coding service lines as requested to ensure quality.
8. Maintains an expert level of knowledge of coding related guidelines and practices.


**Other Duties: Performs other duties as assigned.

To code Outpatient Ancillary Lines as listed in the coding job description.

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

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