Coding Specialist III - Nabisco Building - (7a - 5p)

Position: Coding Specialist III - Nabisco Building - (7a - 5p)

Job ID: 148293

Location: US-TX-Houston


Talent Area: Clerical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 7a - 5p

About Texas Children's Hospital

- Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. - Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. - To join our community of 13,000 dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at


We are searching for a Coding Specialist III — someone who works well in a fast-paced setting. In this position, you will assign ICD-10-CM and CPT codes to inpatient, same-day surgery, observation, ER, and/or ambulatory records. This position will generate codes for the purpose of billing and research and provide the information to government and regulatory agencies.


Think you’ve got what it takes?

Responsibilities :

Job Duties & Responsibilities 


  • Review and interpret physician documentation to appropriately assign diagnosis and procedure codes
  • Monitor patient charges and determine the necessary coding to complete the account
  • Identify principle and secondary diagnoses, as well as procedures codes, from the electronic medical record
  • Utilize the encoder to generate ICD-10-CM, ICD-10-PCS, and/or CPT codes for diagnosis and procedures
  • Resolve coding problems and assist in physician research projects
  • Sequence diagnosis and procedures and generate appropriate billing
  • Check discharge dispositions and attending physician for accuracy
  • Complete neonatal information regarding birth weight, gestational age, TPN, ECMO, and the number of ventilator days
  • Extract data regarding blood types, number of units, and special unit stays
  • Calculates billable charges directly from operative reports and process spreadsheets including charge master e-bills
  • Provide ICD-10 and CPT codes for Business Services and physician office requests regarding non-billed on non-reimbursed claims
  • Answer inquiries from outpatient clinics and ancillary departments for appropriate assignment of codes
  • Facilitate coding education sessions (webinars, audio conferences, seminars, newsletters, etc.) by researching and presenting topics assigned by the manager
  • Identify accounts opened in error, accounts needing admit/discharge dates, and billing discrepancies
  • Conduct E/M abstraction


Skills & Requirements 


  • High school diploma or GED
  • Certification in either RHIA, RHIT, CCS, CSS-P, CPC, CPC-A, CIC, or COC
  • 4 years’ experience in coding
  • Experience using an encoder and/or an electronic medical record preferred

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