Texas Children's Hospital
Professional Coding Quality Assurance Specialist III
Texas Children's Hospital, Houston, Texas, United States, 77246
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Job Description
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 DRG Hospital Inpatient records for purposes of billing, research, and providing information to government and regulatory agencies. You will ascertain the accuracy of the physicians’ E/M and procedure coding to their documentation and complete the auditing reporting tool, providing this feedback to the education team and/or provider. Incumbent may perform only certain of the following responsibilities depending on their work assignment.
Think you’ve got what it takes?
Job Duties & Responsibilities
Assign ICD‑10‑CM, ICD‑10‑PCS, and DRG codes to hospital inpatient records.
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 principal 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 DRG codes for diagnosis and procedures.
Sequence diagnosis and procedures to generate appropriate billing.
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.
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
Required: High School Diploma or equivalent.
Required licenses and certifications (select at least one):
CCA – Certified Coding Associate (AAPC)
CCS – Certified Coding Specialist (AHIMA)
CCS‑P – Certified Coding Specialist Physician‑Based (AHIMA)
CIPC – Certified Inpatient Coder (AAPC)
COC – Certified Outpatient Coder (AAPC)
CPC – Certified Professional Coder (AAPC)
CRC – Cert Risk Adjustment Coder (AAPC)
RHIA – Certified -Reg. Health Information Administrator (AHIMA)
RHIT – Certified -Reg. Health Information Technologist (AHIMA)
Required 4 years coding experience with preferred experience using an encoder and an electronic medical record.
About Us Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s comprehensive health care network includes a primary hospital in the Texas Medical Center and specialty centers such as the Jan and Dan Duncan Neurological Research Institute, Feigin Tower for pediatric research, Texas Children’s Pavilion for Women, Texas Children’s Hospital West Campus, Texas Children’s Hospital The Woodlands, and Texas Children’s Hospital North Austin. The organization also includes Texas Children’s Health Plan, the largest pediatric primary care network in the country, urgent care clinics, and a global health program. Texas Children’s Hospital is affiliated with Baylor College of Medicine.
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.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Quality Assurance
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Be among the first 25 applicants.
Job Description
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 DRG Hospital Inpatient records for purposes of billing, research, and providing information to government and regulatory agencies. You will ascertain the accuracy of the physicians’ E/M and procedure coding to their documentation and complete the auditing reporting tool, providing this feedback to the education team and/or provider. Incumbent may perform only certain of the following responsibilities depending on their work assignment.
Think you’ve got what it takes?
Job Duties & Responsibilities
Assign ICD‑10‑CM, ICD‑10‑PCS, and DRG codes to hospital inpatient records.
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 principal 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 DRG codes for diagnosis and procedures.
Sequence diagnosis and procedures to generate appropriate billing.
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.
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
Required: High School Diploma or equivalent.
Required licenses and certifications (select at least one):
CCA – Certified Coding Associate (AAPC)
CCS – Certified Coding Specialist (AHIMA)
CCS‑P – Certified Coding Specialist Physician‑Based (AHIMA)
CIPC – Certified Inpatient Coder (AAPC)
COC – Certified Outpatient Coder (AAPC)
CPC – Certified Professional Coder (AAPC)
CRC – Cert Risk Adjustment Coder (AAPC)
RHIA – Certified -Reg. Health Information Administrator (AHIMA)
RHIT – Certified -Reg. Health Information Technologist (AHIMA)
Required 4 years coding experience with preferred experience using an encoder and an electronic medical record.
About Us Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s comprehensive health care network includes a primary hospital in the Texas Medical Center and specialty centers such as the Jan and Dan Duncan Neurological Research Institute, Feigin Tower for pediatric research, Texas Children’s Pavilion for Women, Texas Children’s Hospital West Campus, Texas Children’s Hospital The Woodlands, and Texas Children’s Hospital North Austin. The organization also includes Texas Children’s Health Plan, the largest pediatric primary care network in the country, urgent care clinics, and a global health program. Texas Children’s Hospital is affiliated with Baylor College of Medicine.
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.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Quality Assurance
Industries
Hospitals and Health Care
#J-18808-Ljbffr