US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX
Positionย Summaryย
The Professionalย Fee Medicalย Coder, Level 3ย reviewsย medical documentationย that physicians or other healthcare professionals completeย toย validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers forย clinicย and hospital-basedย professional encounters. The Coder applies coding conventionsย perย official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This roleย is responsible forย complexย surgical codingย inย the inpatientย and outpatient settings. May also beย assignedย E/M encounters, ancillary diagnosticย procedures,ย and other inpatient and outpatient visits.ย
Responsibilities:
- Reviewsย encounterย in a timely mannerย and resolves allย coding-relatedย edits.ย
- Reviews medicalย records and accurately assigns andย sequencesย CPT, ICD-10CM, and HCPCS codes/modifiers,ย ensuring compliance with all applicable guidelines.ย
- Generates physician queriesย followingย established procedures.ย
- Provides feedback and education asย required.ย
- Confirms that all applicable USHVย and Coding Guidelines are followedย whileย coding and resolving edits.ย
- Performsย chargeย entry of professional services, including but not limited to non-invasive tests and hospital or office-basedย visits.ย
- Abstractsย information needed for billing.ย
- Performsย chargeย reconciliationย via logs, visit schedules, and other reports when applicable to the department.ย
- Meets the required coding quality and productivity expectationsย perย department policy and procedures.ย
- Completesย allย education assigned by USHV leadership and compliance.ย
- Maintains required continued education hours relevant to professional credentialsย
- Staysย currentย with all federal, state, coding,ย and departmental guidelines and procedures.ย
- Performs other duties as assigned.ย
Requirements:
- Analytical skills, ability to interpret data andย maintainย spreadsheetsย
- Knowledge of ICD-10CM and CPT coding conventionsย
- High-levelย understanding of all federal/governmental regulations, coding guidelines,ย and revenue cycle policies and procedures
- Proficiencyย in Microsoft Office suiteย andย expert knowledge of multipleย EMRย platformsย
- High School Diploma or equivalent requiredย
- 3ย yearsย of related experienceย requiredย
- 2 yearsย of experience coding complex procedures preferredย
- May substitute required experience with equivalent years beyondย theย minimum education requirement.ย ย
- One or more of the following credentialsย areย requiredย within 12 months of employment:ย
- Registered Health Information Administrator (RHIA),ย
- Registered Health Information Technician (RHIT),ย
- Certified Coding Specialist (CCS),ย
- Certified Coding Specialist-Physician-based (CCS-P),ย
- Certified Professional Coder (CPC)ย
- Certified Cardiology Coder (CCC)ย
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