Medical Coder -Relief (Revenue Mgt)
The Harris Center for Mental Health and IDD ( The HARRIS CENTER ) is looking for a Medical Coder to join our team. Under the direction of Director of Revenue Management, the Medical Coder utilizes knowledge of insurance regulations, health insurance contracts, and medical coding to perform a variety of revenue cycle support activities.
Additionally, the medical coder is responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician selected CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical records to accurately optimize all professional services documented for billing
What you will do :
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information
- Examines documents and electronic health records for missing information; corrects information as needed.
- Assigns CPT, HCPCS, ICD-10-CM, and DRG codes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
- Researches and analyzes data needs for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
- Reviews and verifies documentation supports diagnoses, procedures and treatment results.
- Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Ensures compliance with medical coding policies and guidelines; understands the application of each code set.
- Maintains current knowledge regarding coding and diagnostic procedures
- Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts / participates in provider coding reviews and education, as requested
- Follows coding conventions.
- Serves as resource, subject matter expert, and consultant to other coding staff.
- Identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
What qualifications you will need :
- High School diploma or GED
- Coding Certification from AAPC or AHIMA
- Minimum of one (1) year work experience as a Medical Coder
- Knowledge of general accounting principles, revenue cycle processes, medical insurance, and associated regulations
- High degree of accuracy and attention to detail
- Ability to manage multiple tasks / projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data;
proficient in data entry.
- Customer service orientation and negotiation skills, including the ability to interface with third party payers
- Excellent communication skills, both verbal and written
- Proficient computer skills, including Microsoft Office applications.
- Proficient in using Electronic Health Records
What we have to offer :
The HARRIS CENTER offers competitive salary, excellent benefits package, retirement plans with company matching, prior service credit towards generous PTO accrual, outstanding wellness programs and professional development.
Employees can also take advantage of business casual dress code, corporate discounts, and gym memberships. New hire referral bonus, discounts are also available on an optional basis.
These include mobile phone service, fitness centers and other wellness amenities.
What else you should know :
This posting is associated with position #1134-002.
The position is located at 9401 SW Freeway, Houston, TX 77074.