Coding Quality Assur Spec I

 
Position: Coding Quality Assur Spec I

Job ID: 167135

Location: US-TX-Houston

Department: HIM Coding-Professional

Talent Area: Clerical

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.



Summary:

We are searching for a Coding Quality Assurance Specialist I -- someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. The position also ascertains the accuracy of the physicians' E/M and procedure coding, completes the auditing reporting tool, and provides this feedback to the education team and/or provider.

Qualifications:

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption.  
  • Required H.S. Diploma or GED 
  • Required Certifications (one of below)
  • LCCA - Certified Coding Associate  
  • CCS - Cert-Cert Coding Specialist  
  • CCS-P - Cert-CCS-P Physician Based  
  • CIPC - Certified Inpatient Coder 
  • COC - Certified Outpatient Coder  
  • COC-A - Cert Outpat Coder - Apprentice 
  • CPC - Cert-Cert Professional Coder 
  • CPC-A - Cert Prof Coder - Apprentice 
  • CRC - Cert Risk Adjustment Coder 
  • RHIA - Cert-Reg Health Infm. Admins  
  • RHIT - Cert-Reg Health Infm. TECH 
  • Required 1 years’ experience as a coder 

Responsibilities:

  • Reviews documentation in records to appropriately assign ICD-10-CM, PCS, and CPT codes 
  • Sequences diagnosis and procedures to generate appropriate DRGs for billing in accordance with the Coding Guidelines based on the type of coding 
  • Lists patient’s personal and medical history information from reports, including past and present medications, drug and other allergies, diagnoses, procedures, and surgeries 
  • Indicates name of physician seen and date of visit, enters above information in the abstracting system for future clinic visit reference, makes corrections of data in error as identified by physicians and nursing staff, performs a review of backlogged charts, and checks discharge disposition 
  • Identifies incorrect admit/discharge dates and the incorrect patient type and forwards these errors to Manager 
  • Identifies and reports charts requiring operative reports, missing parts, missing pathology, and charts filed under the wrong MRN 
  • Attends and participates in coding education sessions, provides information or issues regarding coding, obtains required number of CEUs for current certification, and completes required education


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