Senior Professional Fee Coder

Baylor College of Medicine

Hybrid within Greater Houston, TX

Job posting number: #7247496 (Ref:19551-en_US)

Posted: May 24, 2024

Job Description


The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services.   Our Coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges.  The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center.  We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations.

The successful candidate will have good organizational, communication and critical thinking skills,  and work well with little direct supervision.

This position is located at Greenway Plaza with opportunities to telecommute.

Job Duties

This position is responsible for accurately reviewing and capturing  physician and outpatient facility coding through Epic and Optum Claims Manager.  Responsibilities include the following:

  • Reviews and accurately resolves NCCI, LCD, NCD, and MUE edits as well as other payer specific coding edits.
  • Assigns appropriate modifiers to charges for clean claim submission.
  • Utilizes the encoder to review and/or assign ICD-10-CM, CPT,  and HCPCS Level II codes on charges.
  • Accurately abstracts from medical records all CPT, ICD-10 and HCPCS codes for procedures and surgeries.
  • Audits physician assigned evaluation and management  CPT codes for accuracy and documentation compliance.
  • Reviews coding denials and resolve issues in conjunction with the collections team.
  • Participates in physician education regarding coding and billing topics.
  • Keeps abreast of changes to ICD_10, CPT and HCPCS coding and communicate changes with providers and management.
  • Provides training to mid-level  coders in CPT abstracting of procedural and surgical billing.
  • Other duties as assigned.

Minimum Qualifications

  • High school diploma or GED.
  • Five years of relevant experience.
  • Certified Professional Coder (CPC).

Preferred Qualifications

  • Associate's degree or Certificate from an accredited program in Health Information Management.
  • Three to six months of coding training which includes but not limited to medical terminology, human anatomy and physiology, and disease process. The three to six months of formal training through an accredited program would be in addition to five years coding experience.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Baylor College of Medicine fosters diversity among its students, trainees, faculty and staff as a prerequisite to accomplishing our institutional mission, and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. - Diversity, respect, and inclusiveness create an environment that is conducive to academic excellence, and strengthens our institution by increasing talent, encouraging creativity, and ensuring a broader perspective. - Diversity helps position Baylor to reduce disparities in health and healthcare access and to better address the needs of the community we serve. - Baylor is committed to recruiting and retaining outstanding students, trainees, faculty and staff from diverse backgrounds by providing a welcoming, supportive learning environment for all members of the Baylor community.

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More Info

Job posting number:#7247496 (Ref:19551-en_US)
Application Deadline:Open Until Filled
Employer Location:Baylor College of Medicine
United States
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