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Medical Records Coder - Intermediate

Certified Professional Coder | San Antonio, TX | Contract

Job Description
Medical Records Coder - Intermediate
Work Location: San Antonio, TX

Job Summary/Description
Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes. Works coding related charge review and claim edits daily to ensure timely and accurate billing. Researches and resolves coding related denials forwarded by insurance follow-up team. Meets productivity and quality standards established by UT Health Physicians.

Job Duties/Responsibilities/Functions (including but not limited to)
• Maintains a working knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and third-party requirements regarding billing and documentation.
• Interprets clinical data using working knowledge of anatomy, physiology, disease process and medical terminology
• Selects correct ICD-10-CM (diagnostic) and CPT-4 (procedural) codes based upon interpretation of operative procedure and correct coding principles. Queries when appropriate. Remains up to date on all coding changes and usage.
• Interprets current NCCI edits and applies “bundling” and “unbundling” rules according to payer requirements, if different from CPT-4 coding guidelines.
• Applies correct modifiers to procedure codes, when warranted, according to CPT-4 guidelines and Medicare/Carrier instructions.
• Assures that all codes assigned are supported by documentation in the medical record; if services are not documented appropriately, will seek to obtain proper documentation before submitting codes for billing. Volume of encounters to be coded must demonstrate an acceptable level of production.
• Achieves and maintains a 95% accuracy in coding while adhering to defined production standards.
• Works coding-related charge review and claim edits daily to ensure timely and accurate billing. May also include working denials queue.
• Researches and resolves coding related denials forwarded by insurance follow-up team.
• Provides accurate answers to physician coding questions in a timely manner.
• Maintains a working knowledge of the Epic system.
• Establishes and maintains professional working relationships with staff, including but not limited to, physicians, nursing, clinic staff, medical records and revenue cycle staff.
• Recommends changes to policies and procedures to improve professional fee coding and data management.
• Performs all aspects of daily work in a manner that contributes to and ensures an environment of strict confidentiality. Demonstrates the ability to be flexible, organized and function well in stressful situations.
• Attend Department specific meetings or related compliance meetings as requested.
• Adheres to all UT Health San Antonio policies and procedures, such as Time, Attendance and Pay Policies; as well as the Faculty Practice Compliance Program and UT Health San Antonio Coder’s Pledge. Encouraged to attend regular Coding Roundtable meetings and TES edit/ Claims Manager workshop annually. Maintains all reference material in an organized manner.
• Enhances professional growth and development through membership in professional organizations, participation at in-service meetings / educational programs, and departmental/division performance improvement activities, and by referencing resource materials and publications.
• Performs other duties as assigned.

Minimum Qualifications
• Minimum high school diploma or equivalent and at least one-year experience in medical record abstraction and coding
• Required certification from one of the following accreditation agencies; American Health Information Management Association (AHIMA), American Association of Professional Coders (AAPC), Practice Management Institute (PMI) or certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or as a Certified Coding Specialist (CCS). Will consider National Health Association Certification in lieu of AHIMA or AAPC
• Knowledge of Physician Teaching Rules and guidelines preferred.
• Knowledge of ICD-10, CPT-4 and HCPCS coding systems, guidelines and rules. Knowledge of medical record filing systems, medical terminology and medical procedures.
• Knowledge of billing regulations, insurance coverage limitations and managed care protocols.
• EPIC or EMR Experience preferred
• Computer Skills: Knowledge of Word Processing software, database software, spreadsheet and Internet software. Epic experience a plus. 3 M CodeRyte and Mosaiq experience a plus, for respective departments.
• Possess communication skills to interact with physicians, patients and staff. Ability to write routine correspondence.
• Ability to use appropriate judgment, independent thinking and creativity when resolving issues. Ability to balance multiple priorities and effectively handle challenging situations.

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.