Children's Health

Compensation

Full Description

Job Title & Specialty Area: Coding Specialist Department:Coding and CDI Location: Dallas, TX Shift: Monday - Friday Job Type: Remote Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, 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. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all. Summary: Performs medical record coding and documentation audits for CHST-employed providers. Conducts coding education based on audit findings. Acts as the coding and documentation resource for CHST providers. Assists in developing action plans in response to identified coding and documentation issues. Cross trained in coding and billing of facility technical and clinician professional services. Responsibilities: • CODING AUDITING: Performs continuous monthly clinician professional documentation coding/billing audits, follow up work plan audits, coding risk assessment audits and special request audits to assure appropriate and compliant documentation, coding and billing practices are is maintained to support all charged services and will assists in developing and implementing appropriate work plans if necessary. Knowledgeable in coding and billing for both outpatient technical and clinician professional services. • CODING EDUCATION: Performs the initial professional coding and documentation training and orientation for new CHST providers. Provides coding training and coaching based on audit results to providers and service line staff. Conducts coding and documentation training annually or as often as necessary per request of management, providers or service line staff. Acts as coding and documentation subject matter expert for management, providers and service line staff. Familiar with State and Federal coding and billing guidelines/regulations. • POLICY AND PROCEDURE DEVELOPMENT AND SUPPORT: Assists in developing and revising policies and procedures for provider professional coding, documentation and billing to assure compliance with state and federal coding, billing and documentation regulatory requirements. • Participates on committees or work groups. Essential: • Certified Professional Coder • Certified Outpatient Coder • Cert Coding Spec-Phys Based • Certified Professional Coder-Apprentice Other information: WORK EXPERIENCE • At least 3 years Equivalent combination of education and/or experience in Health Information Management, Healthcare Administration, Healthcare Operations, Coding, Nursing, Case Management, or experience as a Physician - required • At least 3 years professional auditing and coding experience in a provider-based setting - preferred • Moderate to Advanced professional coding experience in more than one specialty (i.e., Orthopedics, Sports Medicine, Cardiology, ENT, etc.) - preferred • Comprehensive understanding of CPT, HCPCS and ICD-10 codes - required • Basic understanding of revenue process, managed care contracts, reimbursement and professional fee schedules - preferred EDUCATION • Two-year associate's degree or equivalent experience -required • Four-year bachelor's degree or equivalent experience - preferred LICENSES AND CERTIFICATIONS • Certified Professional Coder (CPC) or Certified Coding Specialist - Professional (CCS-P) or Certified Outpatient Coder (COC) - required • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) - preferred A Place Where You Belong We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute. Holistic Benefits - How We'll Care for You: 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. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity. Employment Type: FULL_TIME