Professional Fee Coder II

Summary

The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services.   Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. 
 

The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center.  We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations.  

The ideal candidate will have good organizational, communication and critical thinking skills, and work well with others.  Have proficiency in Microsoft Office, Excel, Epic EHR and Citrix portal. Will have strong communications and writing skills.

This position is located at Greenway Plaza with opportunities to telecommute.  

Job Duties

This position is responsible for accurately reviewing and capturing  physician and outpatient facility coding through Epic and Optum Claims Manager.  Responsibilities include the following:

• Reviews and accurately resolving NCCI, LCD, NCD, and MUE edits as well as other payer specific coding edits.
• Assigns appropriate modifiers to charges for clean claim submission.
• Utilizes the encoder to review and/or assign ICD-10-CM, CPT,  and HCPCS Level II codes on charges.  
• Accurately abstracts from medical records all CPT, ICD-10 and HCPCS codes for procedures and surgeries.
• Audits physician assigned evaluation and management  CPT codes for accuracy and documentation compliance.  
• Reviews coding denials and resolve issues in conjunction with the collections team.  
• Participates in physician education regarding coding and billing topics.
• Keeps abreast of changes to ICD_10, CPT and HCPCS coding and communicate changes with providers and management.
• Provides training to entry level coders in coding and working Epic edits.  
• Performs other job related duties as assigned.

Minimum Qualifications

• Education Required: High school diploma or GED.
• Experience Required: Three years of relevant experience.
• Certification/Licenses/Registration: Certified Coding Specialist – Physician-based (CCS-P) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).