CODING SPEC III - OUTPATIENT

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
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• Education High School Diploma or equivalent.
• Experience 3 years of acute hospital based coding experience or An equivalent combination of education and experience may be considered.
• Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (COC) Certified Outpatient Coding or (CPC) CERT PROFESSIONAL CODER or AAPC Certified Professional Coder-Hospital (CPC-H) or (CIRCC) Cert Inter Rad Cardio Coder
• Education Associate's Degree in Health Information Management and/or closely related field or Bachelor's Degree in Health Information Management and/or closely related field
• Experience Experience working in a remote environment preferred; required for PRN Coders.
• Responsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions.
• Accurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits.
• Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.
• May be assigned to review accounts in the denials work queues and make recommendations to the Coding Manager.
• a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available.
• Maintain the Quality and Productivity Standards set by UTSW/HIM Coding.
• Mentor/train on designated coding service lines as requested to ensure quality.
• Maintains an expert level of knowledge of coding related guidelines and practices.
• Other duties as assigned