Review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached, and capture charges for laboratory, radiology, supplies, and medical procedures across emergency facilities, inpatient, observation, and ancillary services.
Additional responsibilities include reviewing clinical documentation and diagnostic results to abstract and code diagnoses and procedures using appropriate classification systems, including ICD-10-CM, CPT-4, HCPCS, and facility-level Evaluation & Management codes for billing.
Requirements & Qualifications
Basic Qualifications
- High School Diploma or GED required
- CPC, CPC-H, CIC, COS, CCS, or other coding certification preferred; or RHIA/RHIT certification with 3+ years of experience required
- 3+ years of experience coding with ICD-10-CM, HCPCS, and CPT codes required
- Experience coding emergency or hospital ancillary services preferred
- Knowledge of pathophysiology, anatomy, medical terminology, coding systems, techniques, and procedures preferred
- Proficiency with Microsoft Word, Excel, and Outlook required
- Proficiency with patient accounting systems preferred
- Experience with Stockell InsightCS, EPIC Community Connect, Cerner, and/or PICIS EMR preferred
- Experience calculating and applying IV infusion and injection codes preferred
- Knowledge of HIPAA guidelines and regulations required
- ICD-10 training/education required
- Fluency in English with strong written and verbal communication skills required
Other Responsibilities
- Attend staff meetings and other company-sponsored or mandated meetings as required
- Perform additional duties as assigned
- Ability to work off-hours and overtime
Location
Houston, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago
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