DRG Coder - RCO Coding

EDUCATION & EXPERIENCE:

Minimum Qualifications:

• None

Preferred Qualifications:

• Experience with communicating, training, and educating providers in proficiency
• Knowledge of coding guidelines, anatomy and physiology, pathophysiology, medical terminology, and medical abbreviations
• Basic knowledge of IP DRG/PCS coding

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:

One of the following:

• CCS – Certified Coding Specialist (AHIMA) or
• RHIA – Registered Health Information Administrator (AHIMA) or
• RHIT – Registered Health Information Technician (AHIMA)

JOB SUMMARY:

To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.

ESSENTIAL JOB FUNCTIONS:

• Selects low bill (>$150k) short stay records from EPIC WQ according to priority.
• Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures.
• Correctly assigns ICD-10 -CM diagnoses and I C D - 1 0 - P C S procedure codes and enters appropriate codes into EPIC Encoder.
• Identifies responsible staff and resident physicians for each procedure coded.
• Always protects confidentiality of patient information.
• Participates in section meeting and office in-services.
• Attends and participates in coding education sessions.
• Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature.
• Obtains required CEU’s for certification and completes any required education.
• Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
• Responsible for productivity and quality standards to adhere with coding compliance and federal regulations.

Marginal or Periodic Functions:

• Adheres to internal controls and reporting structure
• Performs related duties as required

KNOWLEDGE/SKILLS/ABILITIES:

• Strong interpersonal, written, and oral communication skills

WORKING ENVIRONMENT/EQUIPMENT:

• Standard office environment at UTMB’s main campus or an approved remote location
• Occasional travel may be required

SALARY RANGE:

Actual salary commensurate with experience.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.