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Baylor College of Medicine

Professional Fee Coder II

Baylor College of Medicine, Houston, Texas, United States, 77246

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Summary 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, as well as 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 revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. The ideal candidate will have good organizational, communication and critical thinking skills, can work well independently with little supervision, and this position is located at Greenway Plaza with opportunities to telecommute.

Job Duties

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 entry‑level coders in coding and working Epic edits.

Performs other duties as assigned.

Minimum Qualifications

High school diploma or GED.

Three years of relevant experience.

Certified Professional Coder (CPC) from AAPC.

Preferred Qualifications

Proficiency in Microsoft Office, Excel, Epic EHR and Citrix portal.

Work Authorization Requirement This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

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