Aya Healthcare
Why UT Southwestern
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage merit increases, and so much more. We invite you to be a part of the UT Southwestern team, where you'll discover a culture of teamwork, professionalism, and a rewarding career! Job Summary
The Coding Specialist IV is responsible for reviewing and coding outpatient University of Texas Southwestern Medical Center (UTSW) medical records. These records are maintained in electronic format and will be coded according to current coding guidelines and in compliance with organizational, departmental, and regulatory requirements. The Coding Specialist IV is identified as the highest-level subject matter expert for interventional coding due to education, training, and experience, and will receive coding assignments in accordance with that level of expertise. Benefits
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing and include: PPO medical plan available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare no copay Paid Time Off available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! Experience And Education
Required Education:
Associate's Degree in Health Information Management and/or closely related field
Experience: 35 years of acute hospital-based coding experience
An equivalent combination of education and experience may be considered
Experience working in a remote environment preferred; required for PRN Coders
Licenses and Certifications (any of the following): RHIA Registered Health Information Administrator
RHIT Registered Health Information Technician
CCS Certified Coding Specialist (AHIMA Certified)
COC Certified Outpatient Coding (AAPC Certified)
CPC Certified Professional Coder (AAPC Certified)
CIRCC Certified Interventional Radiology Cardiovascular Coder (AAPC Certified)
Preferred Education:
Bachelor's Degree in Health Information Management and/or closely related field
Job Duties
Responsible for coding retrospective outpatient accounts using ICD-10-CM and CPT code sets in compliance with Official Coding Guidelines and conventions
Accurately identifies the most appropriate Reason for Visit, First Listed Diagnosis, Procedure(s), and all secondary diagnoses to support medical necessity (LCD/NCD edits) and CCI edits
Accurately abstracts required data elements including discharge disposition, discharge destination, procedure dates, physician(s), and other designated data
Identifies when a physician query is appropriate for further clarification
Recognizes when documentation is missing or incomplete and routes appropriately
Completes review and final coding when query and/or documentation is available
May be assigned to review accounts in the denials work queue, resolve issues, and/or make recommendations to the Coding Manager
Maintains the Quality Standards set by UTSW/HIM Coding
Maintains the Productivity Standards set by UTSW/HIM Coding
Mentors/trains on designated coding service lines as requested to ensure quality
Maintains expert-level knowledge of coding-related guidelines and practices
Performs other duties as assigned
Security And EEO Statement
Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position. EEO Statement UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage merit increases, and so much more. We invite you to be a part of the UT Southwestern team, where you'll discover a culture of teamwork, professionalism, and a rewarding career! Job Summary
The Coding Specialist IV is responsible for reviewing and coding outpatient University of Texas Southwestern Medical Center (UTSW) medical records. These records are maintained in electronic format and will be coded according to current coding guidelines and in compliance with organizational, departmental, and regulatory requirements. The Coding Specialist IV is identified as the highest-level subject matter expert for interventional coding due to education, training, and experience, and will receive coding assignments in accordance with that level of expertise. Benefits
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing and include: PPO medical plan available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare no copay Paid Time Off available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! Experience And Education
Required Education:
Associate's Degree in Health Information Management and/or closely related field
Experience: 35 years of acute hospital-based coding experience
An equivalent combination of education and experience may be considered
Experience working in a remote environment preferred; required for PRN Coders
Licenses and Certifications (any of the following): RHIA Registered Health Information Administrator
RHIT Registered Health Information Technician
CCS Certified Coding Specialist (AHIMA Certified)
COC Certified Outpatient Coding (AAPC Certified)
CPC Certified Professional Coder (AAPC Certified)
CIRCC Certified Interventional Radiology Cardiovascular Coder (AAPC Certified)
Preferred Education:
Bachelor's Degree in Health Information Management and/or closely related field
Job Duties
Responsible for coding retrospective outpatient accounts using ICD-10-CM and CPT code sets in compliance with Official Coding Guidelines and conventions
Accurately identifies the most appropriate Reason for Visit, First Listed Diagnosis, Procedure(s), and all secondary diagnoses to support medical necessity (LCD/NCD edits) and CCI edits
Accurately abstracts required data elements including discharge disposition, discharge destination, procedure dates, physician(s), and other designated data
Identifies when a physician query is appropriate for further clarification
Recognizes when documentation is missing or incomplete and routes appropriately
Completes review and final coding when query and/or documentation is available
May be assigned to review accounts in the denials work queue, resolve issues, and/or make recommendations to the Coding Manager
Maintains the Quality Standards set by UTSW/HIM Coding
Maintains the Productivity Standards set by UTSW/HIM Coding
Mentors/trains on designated coding service lines as requested to ensure quality
Maintains expert-level knowledge of coding-related guidelines and practices
Performs other duties as assigned
Security And EEO Statement
Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position. EEO Statement UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.