Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
Responsibilities Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex 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.
Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
Contacts other facilities to obtain medical records and information need to bill for services rendered.
Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation.
Updates coding books with changes as accepted and published by regulatory agencies.
Performs all other duties as assigned.
Qualifications Proficiency in ICD-10 and CPT coding.
In-depth 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
High school diploma or GED is required.
Required Skills Five (5) years experience in medical record abstraction and coding is required.
This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.
Job Info Job Category Clinical Programs & Services
Locations 0126 8431 Fredericksburg Rd, San Antonio, TX, 78229, US (On-site)
Job Schedule Full time
Organization M3113 - UTHP ADM Coding Support, M3100 - UTHP UT Health Physicians, M1000 - Dean Medical School, UT Health Science Center, UT Health Science Center
Department M3113 - UTHP ADM Coding Support
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