Coding Specialist Iii - Revenue Cycle

JOB SUMMARY:
Works under general supervision to perform complex coding activities in a manner that meets productivity and quality standards as established by the coding leadership. This position will support the Neurosurgery and Spine team and consists of three (3) Coding Specialists and four (4) Ortho Coding Specialists. This position will work as a float to all specialties but primary to code Orthopedic Surgery charges within three (3) days of documentation received. The preferred candidate for this position will live in the DFW area and/or in one of the bordering states such as Oklahoma, Arkansas, Louisiana, etc.
Make sure all service lines are worked to meet six day metric
Assign CPT, ICD and appropriate modifiers to encounters
Charge reconciliation of encounters entered
Front end follow-up review and clinical denials
Refund and CRM inquiries
High producer
Creative thinker
Supportive of providers
This is a work from home. Exact details to be discussed during interview process
EXPERIENCE | EDUCATION:
REQUIRED:
High School Diploma or equivalent
And, certification as a professional coder
To include, Certified Professional Coder (CPC), CMC, RHIT, RHIA, or Certified Coding Associate (CCA)
And, six (6) years coding experience
Knowledge of Correct Coding Initiatives (CCI), Epic electronic health record systems and 3M coding software is preferred.
Proficiency in EPIC is preferred
May consider education in lieu of experience, or experience in lieu of other criterion
JOB DUTIES:
Performs accurate and timely review of complex coding and abstracting of UTSW accounts utilizing ICD-10-CM, HCPCS, and CPT code sets as indicated and according to department procedures.
Performs complex coding activities in a manner that meets productivity and quality standards as established by the coding leadership.
Ability to review and resolve front-end charge review coding edits and back-end coding denials
Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes, coding guidelines, and teaching physician documentation guidelines through participation in continuing education programs.
Maintains a thorough understanding of the intricacies of the various subspecialty care provided at UTSW, so work assignment adjustments can be made with little workflow disruption and coding coverage can be appropriately provided.
May lead, train and/or mentor the work of lower level designated coding employees to ensure quality of work and growth in knowledge and expertise.
Assists in upholding coding team expectations of effective communications, including customer service standards, professionalism, operating procedures, processes, and other team strategies and goals.
Assists in promoting a culture of support, continuous learning, and team work.
Adheres to all UTSW and departmental policies and procedures to include the Remote Coding Agreement where applicable.
May support multiple specialties in a hybrid role as needed.
Performs other duties as assigned.
SECURITY:
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
WORKING CONDITIONS:
This job is remote only and individuals who reside in the job will permanently work 100% from an alternate approved worksite. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.