Coding Quality Assurance Specialist III (Orthopedic Surgery)

 
Position: Coding Quality Assurance Specialist III (Orthopedic Surgery)

Job ID: 156219

Location: US-TX-Houston

Department: HIM CODING-PROFESSIONAL

Talent Area: Clerical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 7a - 3:30p

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, the first hospital devoted to children’s care for communities north of Houston. 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 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   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.

Summary:

We are searching for a Coding Quality Assurance Specialist -- 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, professional hospital, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. This role also ascertains the accuracy of the ancillary providers/physician's E/M and procedure coding to their documentation and completes the auditing reporting tool and provides this feedback to the education team and/or provider.

 

4-5 years of experience in orthopedic surgery coding is highly preferred.

 

Think you’ve got what it takes?



Responsibilities :

  • Assigns ICD-10-CM, ICD-10-PCS, and/or CPT codes
  • Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes
  • Completes abstracts for records as appropriate
  • Provides ICD-10 and CPT codes for Business Services and physician office requests regarding non-billed or non-reimbursed claims
  • Reviews charts for completeness
  • Facilitates coding education sessions (webinars, audio conferences, seminars, lunch and learn, newsletters) by researching and presenting topics assigned by manager each month
  • Resolves coding and compliance issues to ensure physician documentation criteria are in compliance with State and Federal regulations and guidelines
  • Maintains concurrent coding for inpatient records


Qualifications:

  • High school diploma or equivalent required
  • CCA, CIPC, COC, CPC or CRC certification from the American Academy of Professional Coders required OR
  • CCS, CCS-P or RHIA certification from the American Health Information Management Association required OR
  • RHIT certification from the American Health Information Management Association required
  • 4 years coding experience required
  • Experience using an encoder preferred
  • Experience using an electronic medical record preferred


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