Certified Coding Specialist I/II/III - Ob/Gyn (Remote) (Finance)

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.

The Certified Coding Specialist working in the Ob/Gyn Revenue Cycle department 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 less complex coding and is limited to hospital inpatient/outpatient and clinic E/M encounters and/or simple ancillary diagnostic procedures.

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 Location:

UTHealth Houston Ob/Gyn Revenue Cycle
1851 Crosspoint Avenue, Houston, TX 77054
Schedule: Full-Time, Mon-Fri, Fully Remote following mandatory in-person training

Position Key Accountabilities:

Essential Functions

• Resolves Epic Coding and Optum Claims Manager edits.
• 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.
• 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 less complex outpatient services
• Resolves any applicable system errors.
• 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.
• Maintains continuing education hours relevant to coding credential and stays up-to-date with all federal, state, coding & departmental guidelines and procedures.
• Performs other duties as assigned.

Certification/Skills:

• 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.

• Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required or
• Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) required or
• Certified Coding Specialist Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required or
• Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required or
• Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) required
• Certification(s) must be obtained within 6 months of hire

Minimum Education:
High School Diploma or equivalent required
Minimum Experience:
2 years Related coding experience required
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:
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.