Medical Records Coder

6 days ago

Dallas, Texas, United States Children's Health Full time
Job Title & Specialty Area:
Certified Medical Records Coder

Department:
Coding and CDI

Location:
Dallas, TX

Shift:
Monday - Friday

Job Type:
Remote in Texas only

Why Children's Health?

We strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community.


Job Summary:

This role is responsible for accurately assigning diagnostic, procedure, and infusion codes to records of emergency department, radiology, ambulatory surgery, observation, and other outpatient encounters as assigned.


Key Responsibilities:
  • Maintain established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
  • Possess in-depth knowledge of the conventions, rules, and guidelines of multiple classification systems, including ICD-10 diagnosis and procedures and Current Procedural Terminology (CPT).
  • Review patients' entire current medical records and utilize encoder software and/or code books to assign appropriate diagnosis codes using the International Classification of Diseases, 10th Edition - Clinical Modification (ICD-10-CM) according to predetermined department standards.
  • Determine the sequence of diagnoses according to uniform hospital discharge data.
  • Review and assign CPT infusion codes following guidelines for infusion administration.
  • Review surgical and designated diagnostic procedure documentation to assign appropriate procedure codes using the International Classification of Diseases, 10th Edition, Procedure Coding System (ICD-10_PCS), and Current Procedural Terminology (CPT) using encoder software and/or code books.
  • Determine and record other required data items such as attending physician, discharge disposition, number of consultations, referral source, and similar data.
  • Query physicians or other providers to obtain clarification and diagnosis information when not recorded on discharge, or if information is incomplete.

Requirements:
  • Certified Coding Specialist
  • Meets Education with Work Experience Requirement
  • Certified Outpatient Coder
  • Certified Professional Coder

Benefits:
  • Employee portion of medical plan premiums are covered after 3 years.
  • 4%-10% employee savings plan match based on tenure
  • Paid Parental Leave (up to 12 weeks)
  • Caregiver Leave
  • Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class.

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