Coding Specialist - Houston, United States - Houston Methodist Specialty Physician Group

Houston Methodist Specialty Physician Group
Houston Methodist Specialty Physician Group
Verified Company
Houston, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

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Description

PEOPLE ESSENTIAL FUNCTIONS

  • Communicates regularly with physicians and Physician Organization Central Business Office (PO CBO) staff on clarification to accurately code diagnosis and procedures.
  • Communicates any issues or pertinent information to the supervisor in a timely manner that impact diagnosis or coding charges.
  • Provides support to other team members as advised by the manager and/or supervisor.

SERVICE ESSENTIAL FUNCTIONS

  • Responds to or clarifies internal requests from all business partners for medical coding information in a timely manner.
  • Participates in coding round tables and inservices for continuing education.
  • Cross trains and provides back up coverage of team members to ensure continuous coding and charge capture activities for PO departments.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

  • 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.
  • Reviews and resolves coding claim edits.

FINANCE ESSENTIAL FUNCTIONS

  • 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.
  • Works charge review and claim edit sessions within two business days of posting to the assigned work queues.
  • Completes charge reconciliation assignments within the expected timeframe(s).

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

  • 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 backend coding related denials.
  • Participates in educational activities and attends scheduled accounts receivable (AR) risk assessment meetings as needed.


This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned.

Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.


EDUCATION

  • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of postsecondary education, etc.)
  • Completion of a Coding Certificate Program

WORK EXPERIENCE

  • None

LICENSES AND CERTIFICATIONS - REQUIRED

  • CPC
  • Certified Professional Coder (AAPC)
    OR


  • CCA

  • Certified Coding Associate (AHIMA)
    OR


  • CPCA

  • Certified Professional Coder Associate (AAPC)
    OR
- an approved Specialty Society Coding Certification


KNOWLEDGE, SKILLS, AND ABILITIES

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
  • 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
  • Knowledge of ICD10, CPT, and HCPCS coding conventions
  • Working knowledge of medical terminology, anatomy, and physiology
  • Must be a selfmotivated individual with the ability to think critically and work independently
  • Must have the ability to multitask in a fast paced rapidly changing healthcare environment
  • Demonstrates a high level of professionalism, customer service, and interpersonal skills and operates under strict confidentiality guidelines

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE
Uniform No

  • Scrubs No
  • Business professional Yes
  • Other (department approved) No

ON-CALL
- _Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._

On Call
  • No

TRAVEL:

-
Travel specifications may vary by department_

May require travel within the Houston Metropolitan area Yes

  • May require travel outside Houston Metropolitan area No

Company Profile:


Houston Methodist Specialty Physician Group is an integral part of Houston Methodist's overall strategy to become one of the nation's leading academic medical centers.

Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.

Houston Methodist is an equal opportunity employer inclusive of women, minorities, disabled persons and veterans.


Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with
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