Coder - RCO Coding (Remote) at University of Texas Medical Branch (UTMB)
United States
<p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>EDUCATION & EXPERIENCE:</strong></span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>Minimum Qualifications:</strong></span></span></p><ul><li><p class="MsoListParagraph" style="mso-list:l0 level1 lfo2;tab-stops:list .5in;text-indent:-.25in;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="line-height:115%25;mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency.</span></span></p></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>Preferred Qualifications:</strong></span></span></p><ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Experience with Outpatient E/M level coding preferred.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.</span></span></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:</strong></span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>One of the following:</strong></span></span></p><ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CCA – Certified Coding Associate (AHIMA) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CCS – Certified Coding Specialist (AHIMA) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">RHIA – Registered Health Information Administrator (AHIMA) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">RHIT – Registered Health Information Technician (AHIMA)</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CIC – Certified Inpatient Coder (AAPC) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">COC – Certified Outpatient Coder (AAPC) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CPC – Certified Professional Coder (AAPC) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CPC-A – Certified Professional Coder – Apprentice (AAPC) or</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">CRC – Certified Risk Adjustment Coder (AAPC)</span></span></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>JOB SUMMARY:</strong></span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Properly codes and/or audits professional services for Inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.</span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>ESSENTIAL JOB FUNCTIONS:</strong></span></span></p><ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Attends and participates in coding education sessions.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Obtains required CEU’s for certification and completes any required education.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Work all PB/HB claim edits and reject errors daily.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Hospital DNB’s will be worked as assigned per Specialty.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Adheres to internal controls and reporting structure.</span></span></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>Marginal or Periodic Functions:</strong></span></span></p><ul><li><p class="MsoListParagraph" style="mso-list:l1 level1 lfo1;tab-stops:list .5in;text-indent:-.25in;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="line-height:115%25;mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Performs related duties as required.</span></span></p></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>KNOWLEDGE/SKILLS/ABILITIES:</strong></span></span></p><ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Strong written and oral communication skills.</span></span></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>WORKING ENVIRONMENT/EQUIPMENT:</strong></span></span></p><ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Standard office environment at UTMB’s main campus or other location.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Occasional travel may be required.</span></span></li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;"><span style="font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Standard office equipment</span></span></li></ul><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>SALARY RANGE:</strong></span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Actual salary commensurate with experience.</span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;"><strong>WORK SCHEDULE:</strong></span></span></p><p class="MsoNormal" style="background-color:white;line-height:normal;margin-bottom:9.0pt;"><span style="color:black;font-family:"Arial",sans-serif;font-size:10.0pt;"><span style="mso-fareast-font-family:"Times New Roman";mso-font-kerning:0pt;mso-ligatures:none;">Remote Position, Monday through Friday, 8-hour shifts with availability between 6 AM - 6 PM.</span></span></p><br><br><p> </p><p> </p><p><strong>Equal Employment Opportunity</strong></p><p>UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.</p>
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