Coding Specialist III - Outpatient

About the role

UT Southwestern Medical Center in Dallas, Texas is hiring a part-time Coding Specialist III for outpatient accounts. The coder works retrospectively on outpatient claims using ICD-10-CM and CPT, in compliance with official coding guidelines and conventions.

Key responsibilities

• Coding retrospective outpatient accounts using ICD-10-CM and CPT, in line with official coding guidelines and conventions.
• Identify the reason for visit, primary diagnosis, procedures, modifiers and secondary diagnoses to support medical necessity (LCD/NCD edits) and CCI edits.
• Abstract required data such as discharge disposition, discharge destination, procedure dates, physicians, occurrence codes and other designated data.
• Review accounts in the denials work queue and recommend actions to the Coding Manager, including identifying when a physician query is needed, routing incomplete documentation, validating chargemaster-driven CPT assignments and completing final coding once queries and documentation are resolved.
• Maintain the quality and productivity standards set by UTSW/HIM Coding and mentor or train coders on designated service lines.
• Keep up to date with coding guidelines and practices and perform other duties as assigned.

Required profile

• High school diploma or equivalent.
• 3 years of acute hospital-based coding experience, or an equivalent combination of education and experience.
• One of the following credentials: RHIA, RHIT, CCS, COC, CPC, CPC-H or CIRCC.
• Preferred: associate's or bachelor's degree in Health Information Management or a closely related field, and experience in a remote environment (required for PRN coders).

What we offer

• PPO medical plan available day one at no cost for full-time employee-only coverage.
• 100% coverage for preventive healthcare with no copay.
• Paid time off available day one.
• Retirement programs through the Teacher Retirement System of Texas (TRS).
• Paid parental leave benefit and wellness programs.
• Tuition reimbursement and Public Service Loan Forgiveness (PSLF) qualified employer status.