Under direct supervision, this role is responsible for reviewing inpatient and outpatient coding, ensuring coding compliance with federal regulations, and maintaining current coding guidelines and policy changes. The position supports medical billing by abstracting patient information from medical records and assigning diagnosis and procedure codes using ICD-10 and CPT classification systems.
Key responsibilities include:
- Review, interpret, and assign diagnostic and procedural codes based on medical record documentation and correct coding principles.
- Provide technical support for documentation and coding for medical billing.
- Perform coding-related charge review and daily claim edits to support accurate and timely billing.
- Obtain medical records and charge fee information from patient care areas.
- Contact external facilities to obtain records and information needed for billing services rendered.
- Verify charge capture and physician notes for completeness, including required signatures and documentation standards.
- Code diagnoses and procedures using appropriate classification systems.
- Review charge documents for completeness.
- Perform other duties as assigned.
Requirements & Qualifications
Required qualifications include:
- Proficiency in ICD-10 and CPT coding.
- Basic understanding of medical terminology, anatomy, and physiology.
- Strong attention to detail and accuracy.
- Customer service acumen and interpersonal skills to work effectively with internal and external customers.
- Strong verbal, written, and interpersonal communication skills.
- High school diploma or GED required.
Preferred certifications include one or more of the following:
- CBCS Certified Billing and Coding Specialist
- RHIT Registered Health Information Technician
- RHIA Registered Health Information Administrator
- CCS Certified Coding Specialist
- CPC Certified Professional Coder
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
Browse More Jobs