Hospital - OP Coder, Senior

Description
The Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values.  Works under the general supervision of the Coding Operations Manager in a hospital setting.

Qualifications

• Knowledge of Official Guidelines for coding and reporting.
• Knowledge of medical terminology, human anatomy, physiology and pharmacology.
• Knowledge of disease pathology
• Knowledge of Current Procedural Terminology coding (CPT), ICD-10-CM, and Healthcare Common Procedure Coding System (HCPCS)
• Ability to code surgical and observation patient encounters.
• Knowledge of operating ordinary business equipment in a remote and office environment such as computer, keyboard, telephone.
• Ability to work effectively in and navigate between common office software, coding software, billing software and abstracting systems.
• Knowledge of coding resources and demonstrated proficiency in using resources.
• Ability to troubleshoot basic technical issues in the remote and office environment.
• Additional Qualifications:

EDUCATION:

HS Diploma or GED

PREFERRED:

Hospital experience with Infusion, Surgery, Observation Surgery, Surgical Spine competencies, Interventional experience, back-end edit resolution.