Key Facts

Remote From:

Full time

English

Hard Skills

ICD Coding (ICD-9/ICD-10) CPT Coding Medical Record Management Coding Theory Productivity Improvement Unit Conversion Medical Coding Coding Theory Diagnosis Codes Bioinformatics Electronic Medical Record Cerner EHR Online Communication

Other Skills

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Non-Verbal Communication
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Time Management
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Teamwork
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Self-Discipline
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Detail Oriented

Roles & Responsibilities

Core coding certification from AAPC or AHIMA (CPC, CCS-P required; COBGC preferred)
Minimum 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
Experience with electronic medical record software (prefer Epic) and proficiency in Microsoft Office; ability to communicate written and oral coding information to healthcare professionals

Requirements:

Review charges for Maternal Fetal Medicine and OB/GYN clinics and assign CPT, HCPCS and ICD-10 codes, modifiers and units for claim submission
Read and interpret medical record documentation to support surgical procedures, office encounters, diagnostic and pathological services and ensure accurate and complete coding
Respond to provider questions with researched coding inquiries and provide written education to providers on correct coding and documentation
Manage specialty-specific work queues (e.g., Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, General Surgery) including pre-claim reviews and claim edits to ensure timely payer submission; participate in education programs and maintain 90%+ coding accuracy and production

Methodist Health System

About Methodist Health System

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers• 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

Company type: XLarge

Founded: 2018

Company size: 5001 - 10000

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Job description

Hours of Work :

8a-430p

Days Of Week :

M-F

Work Shift :

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; COBGC preferred

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 and 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:

Will primarily review charges for Maternal Fetal Medicine and OB/GYN clinic 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, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, 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.

#LI-NP1

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory 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: