Coder III - Corporate Coding
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary
The Coder 3 is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. Coder 3 uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder 3 will abstract and enter required data.
Essential Functions of the Role
- Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.
- Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
- Communicates with providers for missing documentation elements and offers guidance and education when needed.
- Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
- Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
- Reviews and edits charges.
Key Success Factors
- Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
- Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.
- Sound knowledge of anatomy, physiology, and medical terminology.
- Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.
- Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
- Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
- Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 3 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): One of the following: RHIA, RHIT, CCS, CIRCC, CIC, CCS-P, COC, CPC.