Texas Children's Hospital
Coding Quality Assurance Specialist III
Texas Children's Hospital, Houston, Texas, United States, 77246
We’re looking for a Coding Quality Assurance Specialist III, someone who’s ready to grow with our company. In this position you will assign and audit the accuracy of ICD-10-CM and DRG Hospital Inpatient records for purposes of billing, research, and providing information to government and regulatory agencies. The role involves assessing the accuracy of physicians’ E/M and procedure coding, completing auditing reporting tools, and providing feedback to the education team and/or providers.
Job Duties & Responsibilities
Assign ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.
Reviews and interprets physician documentation to assign diagnosis and procedure codes.
Communicates with and provides feedback to the education team and/or providers.
Reviews patient charges to determine necessary coding for account completion.
Identifies principal and secondary diagnoses and procedure codes from the electronic medical record.
Utilizes encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures.
Sequences diagnosis and procedures to generate appropriate billing.
Utilizes other available resources for code assignment as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials).
Assists other coders in resolving coding problems.
Completes abstracts for records as appropriate.
Assists in correction of problem accounts.
Reviews charts for completeness.
Participates in education and maintains certification.
Assists in auditing records.
Maintains concurrent coding for inpatient records.
Skills & Requirements
Required: High School Diploma or equivalent.
Required: One of the following licenses/certifications: CCA, CCS, CCS‑P, CIPC, COC, CPC, CRC, RHIA, RHIT.
Required: 4 years of coding experience with preferred experience using an encoder and an electronic medical record.
Previous Hospital Inpatient coding of all specialties HIGHLY DESIRED Since 1954, Texas Children’s has been a leader in patient care, education, and research, accelerating health care for children and women worldwide. The organization consistently ranks as one of the best children’s hospitals in Texas and among the top in the nation by U.S. News & World Report, as well as being recognized by the Houston Business Journal as one of Houston’s Best Places to Work for ten consecutive years.
Texas Children’s’ comprehensive health‑care network includes its primary hospital in the Texas Medical Center, expertise in over 40 pediatric subspecialties, the Jan and Dan Duncan Neurological Research Institute (NRI), the Feigin Tower for pediatric research, Texas Children’s Pavilion for Women, Texas Children’s Hospital West Campus, Texas Children’s Hospital The Woodlands, Texas Children’s Hospital North Austin, Texas Children’s Health Plan, Texas Children’s Pediatrics, Texas Children’s Urgent Care clinics, and a global health program delivering care to children and women worldwide. The hospital is affiliated with Baylor College of Medicine, one of the nation’s largest and most diverse pediatric programs.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children’s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status, or any other protected federal, state, province, or local status unrelated to the performance of the work involved.
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Job Duties & Responsibilities
Assign ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.
Reviews and interprets physician documentation to assign diagnosis and procedure codes.
Communicates with and provides feedback to the education team and/or providers.
Reviews patient charges to determine necessary coding for account completion.
Identifies principal and secondary diagnoses and procedure codes from the electronic medical record.
Utilizes encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures.
Sequences diagnosis and procedures to generate appropriate billing.
Utilizes other available resources for code assignment as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials).
Assists other coders in resolving coding problems.
Completes abstracts for records as appropriate.
Assists in correction of problem accounts.
Reviews charts for completeness.
Participates in education and maintains certification.
Assists in auditing records.
Maintains concurrent coding for inpatient records.
Skills & Requirements
Required: High School Diploma or equivalent.
Required: One of the following licenses/certifications: CCA, CCS, CCS‑P, CIPC, COC, CPC, CRC, RHIA, RHIT.
Required: 4 years of coding experience with preferred experience using an encoder and an electronic medical record.
Previous Hospital Inpatient coding of all specialties HIGHLY DESIRED Since 1954, Texas Children’s has been a leader in patient care, education, and research, accelerating health care for children and women worldwide. The organization consistently ranks as one of the best children’s hospitals in Texas and among the top in the nation by U.S. News & World Report, as well as being recognized by the Houston Business Journal as one of Houston’s Best Places to Work for ten consecutive years.
Texas Children’s’ comprehensive health‑care network includes its primary hospital in the Texas Medical Center, expertise in over 40 pediatric subspecialties, the Jan and Dan Duncan Neurological Research Institute (NRI), the Feigin Tower for pediatric research, Texas Children’s Pavilion for Women, Texas Children’s Hospital West Campus, Texas Children’s Hospital The Woodlands, Texas Children’s Hospital North Austin, Texas Children’s Health Plan, Texas Children’s Pediatrics, Texas Children’s Urgent Care clinics, and a global health program delivering care to children and women worldwide. The hospital is affiliated with Baylor College of Medicine, one of the nation’s largest and most diverse pediatric programs.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children’s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status, or any other protected federal, state, province, or local status unrelated to the performance of the work involved.
#J-18808-Ljbffr