Baylor College of Medicine
Senior Professional Fee Coder
Baylor College of Medicine, Houston, Texas, United States, 77246
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Senior Professional Fee Coder
role at
Baylor College of Medicine
Overview The Patient Business Service (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 revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims and accurate patient statements. They apply correct coding guidelines to patient charge encounters 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 idea candidate will have good organizational, communication, and critical thinking skills and can work well with little direct supervision. 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 resolves 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 resolves 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 communicates changes with providers and management.
Provides training to mid-level coders in CPT abstracting of procedural and surgical billing.
Performs other duties as assigned.
Minimum Qualifications
High school diploma or GED.
Five years of relevant experience.
Certified Professional Coder (CPC) from AAPC.
Preferred Qualifications
Associate degree or certificate from an accredited program in Health Information Management.
Three to six months of coding training which includes medical terminology, human anatomy and physiology, and disease process. This training would be in addition to five years coding experience.
Work Authorization Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. This position is not eligible for visa sponsorship.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Higher Education
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Senior Professional Fee Coder
role at
Baylor College of Medicine
Overview The Patient Business Service (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 revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims and accurate patient statements. They apply correct coding guidelines to patient charge encounters 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 idea candidate will have good organizational, communication, and critical thinking skills and can work well with little direct supervision. 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 resolves 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 resolves 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 communicates changes with providers and management.
Provides training to mid-level coders in CPT abstracting of procedural and surgical billing.
Performs other duties as assigned.
Minimum Qualifications
High school diploma or GED.
Five years of relevant experience.
Certified Professional Coder (CPC) from AAPC.
Preferred Qualifications
Associate degree or certificate from an accredited program in Health Information Management.
Three to six months of coding training which includes medical terminology, human anatomy and physiology, and disease process. This training would be in addition to five years coding experience.
Work Authorization Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. This position is not eligible for visa sponsorship.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Higher Education
#J-18808-Ljbffr