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Medical Records Coder-Associate
UT Health San Antonio
San Antonio, USA
Full-time
Entry
Hybrid
Discovered 2 weeks ago
ICD-10CPT
Key Skills for This Role
ICD-10CPT
Full Job Posting
Responsibilities
- Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
- Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
- Works coding related charge review and claim edits daily to ensure timely and accurate billing.
- Obtains medical records and charge fee information from patient care area.
- Contacts other facilities to obtain medical records and information needed to bill for services rendered.
- Verifies charge capture and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; ensures proper documentation guidelines are followed.
- Codes diagnosis and procedures using classification coding systems.
- Reviews charge documents for completeness.
- Performs all other duties as assigned.
Qualifications
- Proficiency in ICD-10 and CPT coding.
- Basic understanding of medical terminology, anatomy and physiology.
- Meticulous attention to detail and accuracy.
- A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
- Strong verbal, written and interpersonal communication skills.
- Education
- Highschool diploma or GED is required.
- Licenses and Certifications
- License and Certifications
- CBCS Certified Billing and Coding Specialist (National Healthcareer Association)
- RHIT Registered Health Information Technician (AAPC)
- RHIA Registered Health Information Administrator (AAPC)
- CCS Certified Coding Specialist (AAPC)
- CPC Certified Professional Coder (AAPC)
About UT Health San Antonio
Parent group profile
The University of Texas at San Antonio
Higher Education17000 employeesFounded 1969
A public research university providing academic and healthcare services.
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