Texas Children's Hospital
Coding Quality Assurance Specialist III
Texas Children's Hospital, Houston, Texas, United States, 77246
Join to apply for the
Coding Quality Assurance Specialist III
role at
Texas Children's Hospital .
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 the ICD‑10‑CM and CPT codes to ambulatory, emergency center, observation and day surgery records for purposes of billing, research and providing information to government and regulatory agencies. You will ascertain the accuracy of physicians' E/M and procedure coding to their documentation, complete the auditing reporting tool and provide feedback to the education team and/or provider. Incumbent may perform only certain of the following responsibilities depending on the work assignment.
Job Duties & Responsibilities
Assign ICD‑10‑CM, ICD‑10‑PCS, DRG, E/M and/or CPT codes.
Review and interpret physician documentation to appropriately assign diagnosis and procedure codes.
Communicate with and provide feedback to the education team and/or providers.
Review patient charges to determine necessary coding to complete the account.
Identify primary and secondary diagnoses and procedure codes from the electronic medical record.
Utilize the encoder or coding books to generate ICD‑10‑CM, ICD‑10‑PCS, and CPT codes for diagnosis and procedures.
Sequence diagnosis and procedures to generate appropriate billing.
Query physicians to obtain diagnosis if not clearly provided in records.
Utilize other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS and coding reference materials).
Assist other coders in resolving coding problems.
Provide ICD‑10 and CPT data for physician research projects and for quality reporting purposes.
Complete abstracts for records as appropriate.
Assist in correction of problem accounts.
Review charts for completeness.
Participate in education and maintain certification.
Assist in auditing records.
Maintain concurrent coding for inpatient records.
Skills & Requirements
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 coding experience with preferred experience using an encoder and an electronic medical record.
Experience with inpatient hospital coding highly desired.
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
Coding Quality Assurance Specialist III
role at
Texas Children's Hospital .
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 the ICD‑10‑CM and CPT codes to ambulatory, emergency center, observation and day surgery records for purposes of billing, research and providing information to government and regulatory agencies. You will ascertain the accuracy of physicians' E/M and procedure coding to their documentation, complete the auditing reporting tool and provide feedback to the education team and/or provider. Incumbent may perform only certain of the following responsibilities depending on the work assignment.
Job Duties & Responsibilities
Assign ICD‑10‑CM, ICD‑10‑PCS, DRG, E/M and/or CPT codes.
Review and interpret physician documentation to appropriately assign diagnosis and procedure codes.
Communicate with and provide feedback to the education team and/or providers.
Review patient charges to determine necessary coding to complete the account.
Identify primary and secondary diagnoses and procedure codes from the electronic medical record.
Utilize the encoder or coding books to generate ICD‑10‑CM, ICD‑10‑PCS, and CPT codes for diagnosis and procedures.
Sequence diagnosis and procedures to generate appropriate billing.
Query physicians to obtain diagnosis if not clearly provided in records.
Utilize other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS and coding reference materials).
Assist other coders in resolving coding problems.
Provide ICD‑10 and CPT data for physician research projects and for quality reporting purposes.
Complete abstracts for records as appropriate.
Assist in correction of problem accounts.
Review charts for completeness.
Participate in education and maintain certification.
Assist in auditing records.
Maintain concurrent coding for inpatient records.
Skills & Requirements
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 coding experience with preferred experience using an encoder and an electronic medical record.
Experience with inpatient hospital coding highly desired.
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