Supervises and participates in the daily workflow of medical records coding, ensuring that coding, release of information and quality control are performed in compliance with federal, state, local, and institutional regulations. Supervises a team of approximately 20 production coders and medical office billing clerks.
- Recommends policies and procedures to maintain and improve the quality and productivity of the work unit.
- Monitors department coding productivity and accuracy standards and produces productivity and quality reports for leadership.
- Conducts the quality review of inpatient and outpatient coding; participates in root cause analysis of coding related denials.
- Interprets clinical data using working knowledge of anatomy, physiology, disease process and medical terminology.
- Provides support and guidance to staff with coding-related charge edits.
- Works queues and account resolutions; responds to coding-related questions from patients, providers, and clinical departments.
- Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation and coding principles.
- Performs all other duties as assigned.
- Strong interpersonal and collaboration skills.
- Strong analytical and project management skills.
- Strong computer skills including Microsoft Word, Excel, PowerPoint and Outlook.
- Ability to conduct and interpret quantitative/qualitative analysis and multi-task.
- Dependable, self-directed with excellent critical thinking, problem-solving and deductive reasoning skills.
- Ability to work with senior management, physicians, and medical staff with various levels of education and experience.
- Working knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and Electronic Medical Records (EMR) system.
- Able to maintain strict confidentiality.
- Excellent verbal and written communication skills.
EXPERIENCE:
- Eight (8) years of experience in medical record abstraction and coding is required.
LICENSES/CERTIFICATION:
- Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.
EDUCATION:
- High school diploma or GED is required
UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.
Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists.
Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
Time Off - A generous leave program offers multiple paid leave options:
- Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
- Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
- Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
- Holidays: 12 set paid holidays each year.
EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.
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