Houston Methodist
Senior Coding Specialist - (Telecommute - Must Reside in TX)
Houston Methodist, Florida, New York, United States
Senior Coding Specialist
– Houston Methodist
Come lead with us at Houston Methodist Primary Care Group. Telecommute – Must reside in TX.
FLSA Status Non‑exempt
Qualifications ubbleEducation: High School diploma or equivalent (e.g., GED, homeschool equivalency, or partial completion of post‑secondary education).
Experience: Five years of professional coding experience.
Licenses and Certifications: Must have one of the following: CCS – Certified Coding Specialist (AHIMA)
CPC – Certified Professional Coder (AAPC)
Skills and Abilities: Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
Proficiency in speaking, reading, and writing English sufficient for essential functions.
Effective communication with patients, physicians, family members, and coworkers, maintaining a customer‑service focus.
Knowledge of ICD‑9, ICD‑…but…”
Essential್ರೀಯ Functions People Essential Functions
Communicates regularly with physicians and PO CBO staff to clarify accurate coding of diagnoses and procedures.
Collaborates with management on coding and diagnosis issues to reduce claim denials through verbal and written communication.
Assists with knowledge sharing, training Coding Specialists, and department cross‑training; 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 in‑services for continuing education.
Cross‑tr제를하고 테할러 커버리계…
Quality/Safety Essential Functions Codes and abstracts medical records for reimbursement purposes from patient charts, physician documentation, and diagnostic or interventional reports using current coding conventions and 3M encoder tools.
Reviews medical records to verify and substantiate diagnoses and procedures for charge review, claim edits, or denied claims and submits clinical appeal or corrected claim.
Assists with creating and reviewing department‑specific coding workflows and expectations.
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 captured.
Works charge review and claim edit sessions within two business days of posting to the assigned work queues.
Investigates and appeals unpaid, denied, and partiallyктер搭…
Growth/Innovation Essential Functions Pursues ongoing professional growth and development and participation in team meetings.
Provides ongoing coding and documentation education to physicians and clinical staff.
Attends, in person, quarterly coding and revenue integrity team meetings.
Supplemental Requirements Work Attire:
Uniform – No; Scrubs – No; Business professional – Yes; Other – No
On‑Call*:
Employees may be required to be on‑call during emergencies (e.g., disaster, severe weather). On‑Call: No
Travel**:
Travel specifications may vary by department. Within Houston Metropolitan area – Yes; Outside Houston Metropolitan area – No
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Hospital and Health Care (Industry)
#J-18808-Ljbffr
– Houston Methodist
Come lead with us at Houston Methodist Primary Care Group. Telecommute – Must reside in TX.
FLSA Status Non‑exempt
Qualifications ubbleEducation: High School diploma or equivalent (e.g., GED, homeschool equivalency, or partial completion of post‑secondary education).
Experience: Five years of professional coding experience.
Licenses and Certifications: Must have one of the following: CCS – Certified Coding Specialist (AHIMA)
CPC – Certified Professional Coder (AAPC)
Skills and Abilities: Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
Proficiency in speaking, reading, and writing English sufficient for essential functions.
Effective communication with patients, physicians, family members, and coworkers, maintaining a customer‑service focus.
Knowledge of ICD‑9, ICD‑…but…”
Essential್ರೀಯ Functions People Essential Functions
Communicates regularly with physicians and PO CBO staff to clarify accurate coding of diagnoses and procedures.
Collaborates with management on coding and diagnosis issues to reduce claim denials through verbal and written communication.
Assists with knowledge sharing, training Coding Specialists, and department cross‑training; 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 in‑services for continuing education.
Cross‑tr제를하고 테할러 커버리계…
Quality/Safety Essential Functions Codes and abstracts medical records for reimbursement purposes from patient charts, physician documentation, and diagnostic or interventional reports using current coding conventions and 3M encoder tools.
Reviews medical records to verify and substantiate diagnoses and procedures for charge review, claim edits, or denied claims and submits clinical appeal or corrected claim.
Assists with creating and reviewing department‑specific coding workflows and expectations.
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 captured.
Works charge review and claim edit sessions within two business days of posting to the assigned work queues.
Investigates and appeals unpaid, denied, and partiallyктер搭…
Growth/Innovation Essential Functions Pursues ongoing professional growth and development and participation in team meetings.
Provides ongoing coding and documentation education to physicians and clinical staff.
Attends, in person, quarterly coding and revenue integrity team meetings.
Supplemental Requirements Work Attire:
Uniform – No; Scrubs – No; Business professional – Yes; Other – No
On‑Call*:
Employees may be required to be on‑call during emergencies (e.g., disaster, severe weather). On‑Call: No
Travel**:
Travel specifications may vary by department. Within Houston Metropolitan area – Yes; Outside Houston Metropolitan area – No
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Hospital and Health Care (Industry)
#J-18808-Ljbffr