Professional Fee Coder I

Job Description

Job Title :

Professional Fee Coder I

Division :

Patient Business Services

Work Arrangement : Hybrid

Location : Houston, TX

Salary Range : $47,372 to $60,817

FLSA Status : Nonexempt

Work Schedule :

Monday – Friday, 8 – 5

Summary

The Patient Business Service (PBS) Coding department is looking for a motivated, entry level coder to review CPT, ICD-10 and HCPCS coding for physician services.   Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges.

The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine.  We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations.

This position is located at our Greenway location and will have work on site, with some opportunity to telecommute.

Job Duties

This position is responsible for reviewing and resolving all coding edits through Epic and Optum Claims Manager to ensure that all charges are accurately captured.  Responsibilities include the following :

• Reviews and accurately resolves the National Correct Coding Initiative (NCCI) edits.
• Reviews Local Coverage Determination Diagnosis (LCD) and National Coverage Determination (NCD) edits.
• Reviews other coding and payer specific edits for clean claim submission.
• Assigns appropriate modifiers to charges for clean claim submission.
• Utilize the encoder to review and / or assign ICD-10-CM, CPT,  and HCPCS Level II codes on charges.
• Reviews coding denials and resolves issues in conjunction with the collections team.
• Participates in physician education regarding coding and billing topics.
• Attends and participates in coding education sessions.
• Keeps abreast of changes to ICD_10, CPT and HCPCS coding and communicate changes with providers and management.

Minimum Qualifications

Preferred Qualifications

Work Authorization Requirement :

Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. This position is not eligible for visa sponsorship.

Baylor College of Medicine is an Equal Opportunity / Affirmative Action / Equal Access Employer.

Requisition ID : 23391