US Heart & Vascular
Location
Houston, Texas
The Professional Fee Medical Coder reviews medical documentation to assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for professional encounters, focusing on complex surgical coding in inpatient and outpatient settings. Responsibilities also include resolving coding-related edits, performing charge entry, abstracting information for billing, and providing feedback and education as needed.
Candidates must possess a High School Diploma or equivalent and have at least 3 years of related experience, with 2 years preferred in coding complex procedures. Required credentials include RHIA, RHIT, CCS, CCS-P, CPC, or CCC, which must be obtained within 12 months of employment.
The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits.
Reviews encounter in a timely manner and resolves all coding-related edits. Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines. Generates physician queries following established procedures. Provides feedback and education as required. Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits. Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits. Abstracts information needed for billing. Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department. Meets the required coding quality and productivity expectations per department policy and procedures. Completes all education assigned by USHV leadership and compliance. Maintains required continued education hours relevant to professional credentials Stays current with all federal, state, coding, and departmental guidelines and procedures. Performs other duties as assigned.
Analytical skills, ability to interpret data and maintain spreadsheets Knowledge of ICD-10CM and CPT coding conventions High-level understanding of all federal/governmental regulations, coding guidelines, and revenue cycle policies and procedures Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms High School Diploma or equivalent required 3 years of related experience required 2 years of experience coding complex procedures preferred May substitute required experience with equivalent years beyond the minimum education requirement. One or more of the following credentials are required within 12 months of employment: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC) Certified Cardiology Coder (CCC) Houston, TX: Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all. Qualifications
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