The University of Texas Health Science Center at San Antonio.
- San Antonio, TX
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Permanent. -
Full-time.
Under general supervision, accountable for evaluating medical record documents versus billing documentation standards and informing departments and professors on properly recording the medical record for services provided to patients.
Task Duties: Carries out quality evaluations of coding activities to make sure documentation supports coding guidelines and coding selection following all coding and billing requirements.
- Looks into and fixes coding related denials as reported.
- Reviews and deals with services in charge review to identify coding issues/trends.
- Advises changes to policies and procedures to enhance expert cost coding and data management.
- Performs all elements of daily work to contribute to and make sure an environment of stringent confidentiality.
- Supplies feedback to suppliers based on quality reviews to minimize errors.
- Establishes and performs training regarding documents, billing, and coding to notify suppliers of changes/updates in guidelines or activities that prevent denials or boost income.
- Supplies education concerning coding, billing, and documentation to end-users and secondary staff as needed.
- Reports compliance concerns discovered through evaluations and teamed up with Compliance to recognize and implement a corrective action strategy to fix the concern.
- Functions as a resource for coding activities within the appointed department( s) and/or sub-specialties.
Education:
- A high school diploma or GED is required.
Experience:
- 5 (5) years of associated experience is needed.
- Knowledge of Federal, State, and Payer policies.
- Efficiency in ICD-10 and CPT coding.
- Strong leadership abilities; ability to use judgment in making informed decisions.
- Proven capability to handle numerous responsibilities while fulfilling objectives and dealing with groups.
- Strong verbal, composed, and social interaction skills.
- Detail-oriented with precise planning and organizational abilities.
Certifications/Licenses:
- Accreditation from a professional coding organization, such as the American Health Information Management Association (AHIMA), American Academy of Expert Coders (AAPC), Registered Health Details Professional (RHIT), Registered Health Info Administrator (RHIA), or Licensed Coding Specialist (CCS) accreditation is needed.
Additional Info
The University of Texas Health Science Center at San Antonio.
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