Coder III - Corporate Coding

<h4>About Us</h4><p>Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>Our Core Values are:</p><ul><li>We serve faithfully by doing what's right with a joyful heart.</li><li>We never settle by constantly striving for better.</li><li>We are in it together by supporting one another and those we serve.</li><li>We make an impact by taking initiative and delivering exceptional experience.</li></ul><h4>Benefits</h4><p>Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:</p><ul><li>Immediate eligibility for health and welfare benefits</li><li>401(k) savings plan with dollar-for-dollar match up to 5%</li><li>Tuition Reimbursement</li><li>PTO accrual beginning Day 1</li></ul><p><em>Note: Benefits may vary based upon position type and/or level.</em></p><h4>Job Summary</h4><p>The Coder 3 is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. Coder 3 uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder 3 will abstract and enter required data.</p><h4>Essential Functions of the Role</h4><ul><li>Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.</li><li>Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.</li><li>Communicates with providers for missing documentation elements and offers guidance and education when needed.</li><li>Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.</li><li>Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.</li><li>Reviews and edits charges.</li></ul><h4>Key Success Factors</h4><ul><li>Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.</li><li>Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.</li><li>Sound knowledge of anatomy, physiology, and medical terminology.</li><li>Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.</li><li>Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.</li><li>Ability to interpret health record documentation to identify procedures and services for accurate code assignment.</li><li>Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.</li></ul><h4>Belonging Statement</h4><p>We believe that all people should feel welcomed, valued and supported.</p><p><b>QUALIFICATIONS</b></p><ul><li>EDUCATION - H.S. Diploma/GED Equivalent</li><li>EXPERIENCE - 3 Years of Experience</li><li>CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): One of the following: RHIA, RHIT, CCS, CIRCC, CIC, CCS-P, COC, CPC.</li></ul>