Senior DRG Coder - RCO Coding

EDUCATION & EXPERIENCE:

Minimum Qualifications:

• A high school diploma or GED and three years related experience.

Preferred Qualifications:

• Three (3) years of experience in DRG and/or PCS coding.
• Experience with communicating, training, and educating providers in proficiency.
• Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:

One of the following:

• CCS – Certified Coding Specialist (AHIMA) or
• RHIA – Registered Health Information Administrator (AHIMA) or
• RHIT – Registered Health Information Technician (AHIMA)

JOB SUMMARY:

To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.

ESSENTIAL JOB FUNCTIONS:

• Selects records from EPIC WQ according to priority.
• Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures.
• Correctly assigns ICD-10 -CM diagnoses and I C D - 1 0 - P C S procedure codes and enters appropriate codes into EPIC Encoder.
• Identifies responsible staff and resident physicians for each procedure coded.
• Always protects confidentiality of patient information.
• Participates in section meeting and office in-services.
• Attends and participates in coding education sessions.
• Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature.
• Obtains required CEU’s for certification and completes any required education.
• Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• Responsible for productivity and quality standards to adhere with coding compliance and federal regulations.

Marginal or Periodic Functions:

• Adheres to internal controls and reporting structure
• Performs related duties as required

KNOWLEDGE/SKILLS/ABILITIES:

• Strong interpersonal, written, and oral communication skills
• Proficient in inpatient coding with the ability to audit and provide education to providers and coders

WORKING ENVIRONMENT/EQUIPMENT:

• Standard office environment at UTMB’s main campus or other location.
• Occasional travel may be required.
• Standard office equipment

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Flexible schedule between 6:00 a.m. – 6:00 p.m.