Harris Health System

Receive alerts when this company posts new jobs.

Similar Jobs

Job Details

Outpatient Coding & QA Trainer - M-F 8am-5pm - Ben Taub Hospital

at Harris Health System

Posted: 7/9/2019
Job Status: Full Time
Job Reference #: 146746
Keywords:

Job Description

About Us

Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.

Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.

Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.

Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.

Job Profile

Monday - Friday 8am -5pm with flexible hours.

Previous Auditor & hospital experience and is strongly preferred.

Must have outpatient coding experience.

Will test on Basic Word & Excel.

This is a hybrid position. Will work onsite and telecommute.

JOB SUMMARY:

Responsible for performing in-depth reviews of both internally and externally coded outpatient medical records/accounts to determine the completeness and accuracy of ICD-9-CM diagnostic coding and sequencing, CPT-4 and HCPCS procedural coding assignment, and appropriate modifier appendage in order to ensure that assigned codes are supported by corresponding clinical documentation and appropriate reimbursement is gained. Determinations regarding the timeliness and appropriateness of claim edit responses will also by monitored, addressed, and reported. Responsible for providing ongoing education to coders, physicians, and other staff while also serving in an advisory role for coding and regulatory compliance.

MINIMUM QUALIFICATIONS:

1. Education/Specialized Training/Licensure:

  • CCS/CCS-P and/or CPC/CPC-H credential required
  • RHIA/RHIT credential preferred

2. Work Experience (Years and Area):

  • 5+ years outpatient coding experience required
  • 2+ year(s) outpatient auditing experience preferred

3. Management Experience (Years and Area):

  • None required

4. Equipment Operated:

  • 3M encoder interfaced with EPIC electronic medical record billing system


SPECIAL REQUIREMENTS:
1. Communication Skills:
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (e.g., Public Speaking)
Bilingual Skills Required: No
Writing /Composing (Correspondence/ Reports)

2. Other Skills:

Analytical, Mathematics-Basic, Medical Terms, Statistical-Basic,
P.C., MS Word-Basic, MS Excel-Basic

3. Work Schedule: Weekends, Holidays, Flexible, Eligible for Telecommute

4. Other Requirements:

  • Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-9-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes
  • Detailed knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
  • Detailed knowledge of classification systems, ICD-9-CM nomenclature, CPT-4, and HCPCS nomenclature, coding rules, guidelines, and proper sequencing
  • Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards
  • Knowledge of ethical coding principles and revenue cycle activities
  • Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding compliance program activities
Benefits and EEOC

Harris Health System benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.

It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

Job Category

Professional

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!