Coding Specialist III - Outpatient (PRN)

%3Cb%3EWHY UT SOUTHWESTERN?%3C/b%3E%3Cbr%3E%0AWith over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to %3Ca href=%22 target=%22_blank%22%3EU.S. News %26 World Report%3C/a%3E, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you%27ll discover a culture of teamwork, professionalism, and a rewarding career!%0A%0A%3Cbr%3E%3Cp%3E%3Cb%3EBENEFITS%3C/b%3E%3Cbr%3E%0AUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:%3C/p%3E%0A%3Cul%3E%0A %3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%0A %3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%0A %3Cli%3EPaid Time Off, available day one%3C/li%3E%0A %3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%0A %3Cli%3EPaid Parental Leave Benefit%3C/li%3E%0A %3Cli%3EWellness programs%3C/li%3E%0A %3Cli%3ETuition Reimbursement%3C/li%3E%0A %3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%0A %3Cli%3E%3Ca href=%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%0A %3C/li%3E%0A%3C/ul%3E%3Cbr%3E%3Cbr%3E%3Cb%3E%3Cb%3EEXPERIENCE AND EDUCATION%3C/b%3E%3C/b%3E%3Cbr%3E%0A%3Cbr%3E%3Cb%3ERequired%3C/b%3E%3Cul%3E%3Cb%3E%3Cli%3EEducation%3C/b%3E%3Cbr%3EHigh School Diploma or equivalent. %3Cbr%3E%3C/ul%3E%3Cul%3E%3Cb%3E%3Cli%3EExperience%3C/b%3E%3Cbr%3E3 years of acute hospital based coding experience or %3Cbr%3E%0A An equivalent combination of education and experience may be considered. %3Cbr%3E%3C/ul%3E%3Cul%3E%3Cb%3E%3Cli%3ELicenses and Certifications%3C/b%3E%3Cbr%3E(RHIA) REGD HEALTH INFO ADMINIST or %3Cbr%3E%0A(RHIT) REGD HEALTH INFO TECHNOLO or %3Cbr%3E%0A(CCS) CERT CODING SPECIALIST or %3Cbr%3E%0A(COC) Certified Outpatient Coding or %3Cbr%3E%0A(CPC) CERT PROFESSIONAL CODER or %3Cbr%3E%0A AAPC Certified Professional Coder-Hospital (CPC-H) or %3Cbr%3E%0A(CIRCC) Cert Inter Rad Cardio Coder %3Cbr%3E%3C/ul%3E%3Cb%3EPreferred%3C/b%3E%3Cul%3E%3Cb%3E%3Cli%3EEducation%3C/b%3E%3Cbr%3EAssociate%27s Degree in Health Information Management and/or closely related field%0A or %3Cbr%3E%0ABachelor%27s Degree in Health Information Management and/or closely related field%0A %3Cbr%3E%3C/ul%3E%3Cul%3E%3Cb%3E%3Cli%3EExperience%3C/b%3E%3Cbr%3E Experience working in a remote environment preferred; required for PRN Coders.%0A %3Cbr%3E%3C/ul%3E%3Cbr%3E%3Cb%3E%3Cb%3EJOB DUTIES%3C/b%3E%3C/b%3E%3Cul%3E %3Cli%3EResponsible for coding retrospective outpatient accounts using ICD-10 CM and CPT, in compliance with the Official Coding Guidelines and conventions. %3C/li%3E%0A%3Cli%3EAccurately identifies most appropriate Reason for Visit, First Listed (Primary) Diagnosis, Procedure(s), Modifiers, and all secondary diagnoses to accurately support medical necessity (LCD/NCD edits) and CCI edits. %3C/li%3E%0A%3Cli%3EAccurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data. %3C/li%3E%0A%3Cli%3EMay be assigned to review accounts in the denials work queues and make recommendations to the Coding Manager. %3C/li%3E%0A%3Cli%3Ea) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available. %3C/li%3E%0A%3Cli%3EMaintain the Quality and Productivity Standards set by UTSW/HIM Coding. %3C/li%3E%0A%3Cli%3EMentor/train on designated coding service lines as requested to ensure quality. %3C/li%3E%0A%3Cli%3EMaintains an expert level of knowledge of coding related guidelines and practices. %3C/li%3E%0A%3Cli%3EOther duties as assigned %3C/li%3E %0A%3Cbr%3E%3C/ul%3E%3Cb%3E%3Cb%3ESECURITY AND EEO STATEMENT%3C/b%3E%3C/b%3E%3Cbr%3E%3Cbr%3E%3Cb%3ESecurity%3C/b%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cb%3EEEO%3C/b%3E%3Cbr%3E%0AUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.%3C/br%3E