Coding Compliance Specialist

 
Position: Coding Compliance Specialist

Job ID: 149799

Location: US-TX-Houston

Department: RCM CLAIMS MANAGEMENT

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

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 texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.



Summary:

We are searching for a Coding Compliance Specialist – someone who works well in a fast-paced setting. In this position, you’ll assume responsibility for providing education, auditing, and feedback to the coding staff as it relates to reimbursement, procedural code, and coding compliance.

 

Think you’ve got what it takes?



Responsibilities :

  • Develop and implement a method by which each HIM coder has a representative sample of their records audited on a monthly and/or quarterly basis
  • Provide feedback to leadership about reimbursement opportunities found as a result of the audits and recommend coding changes as necessary
  • Develop and implement training programs for the HIM coding staff to reinforce and/or change the coding behaviors
  • Review and interpret the Federal Registry and other relevant publications on a current basis to keep pace with coding changes in the industry
  • Recommend a change in regulations to improve our financial relations
  • Respond directly to all requests for coding information in an accurate and timely manner
  • Compile requests and responses into a monthly newsletter and maintain the SharePoint site for coding education


Qualifications:

  • High school diploma or GED
  • RHIA, RHIT, CCS, CPC, CPC-A, or CCS-P certification
  • 4 years’ experience in coding and/or compliance
  • Thorough knowledge of CPT4 and ICD9/ICD10 coding methodologies


Apply Now
Current Texas Children’s employees – Please click here to login.
Create Profile or Log In Search Careers