Coding Quality Assurance Specialist I

Position: Coding Quality Assurance Specialist I Talent Area: Administrative Support Full/Part Time: Full time Location: Houston, TX, US Department: HIM Coding - Hospital Shift: 8a-5p Job ID: 425512 We’re 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. Job Duties & Responsibilities Assigns ICD-10-CM and CPT codes. Reviews documentation in records to appropriately assign ICD-10-CM, PCS, and CPT codes. Communicates with and provides feedback to the education team and/or provider. Utilizes the encoder or coding books to correctly assign all appropriate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. Sequences diagnosis and procedures to generate appropriate DRGs for billing in accordance with the Coding Guidelines based on the type of coding. Queries physicians to obtain clarification or missing elements in the record preventing correct coding. Utilizes available resources for assignment of codes as necessary (e.g., Diagnostic Imaging system, Lab system, Emergency Center system, Cardiac Cath system, Epic, and coding reference books). Inputs codes into the Epic computer system utilizing the Encoder. Completes abstracts if appropriate. Assists in correction of problem accounts. Participates in education and maintains certification. Maintains concurrent coding for all records. Skills & Requirements Required H.S. Diploma or GED Required Certifications: LCCA - Certified Coding Associate, CCS - Certified Coding Specialist, CPC - Certified Professional Coder, CPC-A - Certified Professional Coder Apprentice Required 1 year’s experience as a coder 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. #J-18808-Ljbffr Texas Children's Hospital