Outpatient Coding & QA Trainer
At Harris Health System, we champion better health for our patients, their families and our community, by connecting them to an integrated healthcare system that provides high-quality healthcare. Harris Health focuses on the delivery of primary care, wellness and prevention services to the residents of Harris County, Texas, through its extensive network of inpatient and outpatient facilities. Harris Health is a proud recipient of the prestigious National Committee for Quality Assurance designation for its patient-centered medical homes. Harris Health's medical faculty and residents are provided by its nationally recognized medical school partners: Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.
JOB SUMMARY: Responsible for performing in-depth reviews of both internally and externally coded outpatient medical records/accounts to determine the completeness and accuracy of ICD-9-CM diagnostic coding and sequencing, CPT-4 and HCPCS procedural coding assignment, and appropriate modifier appendage in order to ensure that assigned codes are supported by corresponding clinical documentation and appropriate reimbursement is gained. Determinations regarding the timeliness and appropriateness of claim edit responses will also by monitored, addressed, and reported. Responsible for providing ongoing education to coders, physicians, and other staff while also serving in an advisory role for coding and regulatory compliance.
1.Education/Specialized Training/Licensure:CCS/CCS-P and/or CPC/CPC-H credential required
RHIA/RHIT credential preferred
2.Work Experience (Years and Area):5+ years outpatient coding experience required
2+ year(s) outpatient auditing experience preferred
3.Management Experience (Years and Area):None required
4.Equipment Operated:3M encoder interfaced with EPIC electronic medical record billing system
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (e.g., Public Speaking)
Bilingual Skills Required: No
Writing /Composing (Correspondence/ Reports)
2. Other Skills:
Analytical, Mathematics-Basic, Medical Terms, Statistical-Basic,
P.C., MS Word-Basic, MS Excel-Basic
3. Work Schedule: Weekends, Holidays, Flexible, Eligible for Telecommute
4. Other Requirements:Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-9-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes
Detailed knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Detailed knowledge of classification systems, ICD-9-CM nomenclature, CPT-4, and HCPCS nomenclature, coding rules, guidelines, and proper sequencing
Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards
Knowledge of ethical coding principles and revenue cycle activities
Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding compliance program activities
Benefits and EEOC
Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.
Clerical and Administrative Support