Professional Coder II - Revenue Cycle (Finance)

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.