Description

*About Us* 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. Our Core Values are: * We serve faithfully by doing what's right with a joyful heart. * We never settle by constantly striving for better. * We are in it together by supporting one another and those we serve. * We make an impact by taking initiative and delivering exceptional experience. *Benefits* 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: * Eligibility on day 1 for all benefits * Dollar-for-dollar 401(k) match, up to 5% * Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more * Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level *Job Summary* The Coder III 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. The Coder III 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 III will abstract and enter required data. *Salary and Work Model* * The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior coding experience. * 100% Remote *Essential Functions of the Role* * Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees. * Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. * Communicates with providers for missing documentation elements and offers guidance and education when needed. * Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. * Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. * Reviews and edits charges. *Key Success Factors* * Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. * Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function. * Sound knowledge of anatomy, physiology, and medical terminology. * Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits. * Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. * Ability to interpret health record documentation to identify procedures and services for accurate code assignment. * Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. *Belonging Statement* We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. *QUALIFICATIONS* * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 3 Years of Experience * Coder I experience needed for this Coder II opportunity * 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)