Hours of Work :
40
Days Of Week :
Monday - Friday
Work Shift :
8X5 Day (United States of America)
Job Description :
Location:
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.
Job Relationships:
Reports to Coding Manager
Certification Requirements:
Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required
Skills, Credentials, Professional Qualifications
High school diploma or equivalent; Associate degree is an asset
A minimum of two years of professional coding experience or one year of professional coding experience with two years of HCC experience; demonstrated experience in procedural/surgical coding
Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies
Independently disciplined in time management and productivity
Experience in electronic medical record software, preferably Epic
Microsoft Office proficient
Ability to communicate written and oral coding information to healthcare professionals
Job Summary:
Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services.
Primary Responsibilities:
Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Trauma, GI/Bariatrics, Transplant, and/or General Surgery. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder’s pre-claim review. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer. Participates in education programs and monthly department meetings. Maintains 90% or higher coding accuracy. Maintains department required production. Other duties as assigned.
Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:
- 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023
- Top 10 Military Friendly® Employer, Gold Designation, 2023
- Top 10 Military Spouse Friendly® Employer, 2023
