Coding Quality Assurance Specialist III

Texas Children's Hospital • Houston, TX

1d

About The Position

We’re looking for a Coding Quality Assurance Specialist III, someone who’s ready
to grow with our company. In this position you will assign and audit the
accuracy of the ICD-10-CM and PCS codes to inpatient records for purposes of
billing, research, and providing information to government and regulatory
agencies.

Think you’ve got what it takes?

Requirements

• Required High School Diploma or equivalent
• Requires one of the following Licenses/Certifications      o    CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC)      o    CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)      o    CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)       o    CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)       o    COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)       o    CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC)       o    CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)      o    RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)       o    RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
• Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record

Nice To Haves

• Experience with Inpatient Hospital coding highly desired.
• Strongly desired RHIT/RHIA & CCS certifications preferred.

Responsibilities

• Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.
• Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes.
• Communicates with and provides feedback to the education team and/or providers.
• Reviews patient charges to determine necessary coding to complete the account.
• Identifies principle and secondary diagnoses and procedure codes from the electronic medical record.
• Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures.
• Sequences diagnosis and procedures to generate appropriate billing.
• Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials).
• Assists other coders in resolving coding problems.
• Completes abstracts for records as appropriate.
• Assists in correction of problem accounts.
• Reviews charts for completeness.
• Participates in education and maintains certification.
• Assists in auditing records.
• Maintains concurrent coding for inpatient records.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED