Coder III - OP (Cath Lab-CIRCC)

<p><strong>About Us</strong></p><p>Here at Baylor Scott &amp; White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>Our Core Values are:</p><ul><li>We serve faithfully by doing what's right with a joyful heart.</li><li>We never settle by constantly striving for better.</li><li>We are in it together by supporting one another and those we serve.</li><li>We make an impact by taking initiative and delivering exceptional experience.</li></ul><p><strong>Benefits</strong></p><p>Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott &amp; White Benefits Hub to explore our offerings, which may include:</p><ul><li>Eligibility on day 1 for all benefits</li><li>Dollar-for-dollar 401(k) match, up to 5%</li><li>Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more</li><li>Immediate access to time off benefits</li></ul><p>At Baylor Scott &amp; White Health, your well-being is our top priority.</p><p>Note: Benefits may vary based on position type and/or level</p><p><strong>Job Summary</strong></p><p>The Coder III is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties.&nbsp;</p><p>The Coder III uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC.&nbsp;</p><p>The Coder III will abstract and enter required data.</p><p><strong>Salary and Work Model</strong></p><ul><li><p style="color:black;font-family:Calibri;font-size:11.0pt;margin:0in;"><span style="background-color:white;">The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.</span></p></li><li><p style="color:black;font-family:Calibri;font-size:11.0pt;margin:0in;"><span style="background-color:white;">100% Remote</span></p></li></ul><p><strong>Essential Functions of the Role</strong></p><ul><li>Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.</li><li>Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.</li><li>Communicates with providers for missing documentation elements and offers guidance and education when needed.</li><li>Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.</li><li>Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.</li><li>Reviews and edits charges.</li></ul><p><strong>Key Success Factors</strong></p><ul><li>Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.</li><li>Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.</li><li>Sound knowledge of anatomy, physiology, and medical terminology.</li><li>Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.</li><li>Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.</li><li>Ability to interpret health record documentation to identify procedures and services for accurate code assignment.</li><li>Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.</li></ul><p><strong>Belonging Statement</strong></p><p>We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.</p><p><strong>QUALIFICATIONS</strong></p><ul><li>EDUCATION - H.S. Diploma/GED Equivalent</li><li>EXPERIENCE - 3 Years of Experience<ul><li>Coder I experience needed for this Coder II opportunity</li></ul></li><li>CERTIFICATION/LICENSE/REGISTRATION -&nbsp;<ul><li>Cert Coding Specialist (CCS)&nbsp;</li><li>Cert Coding Spec Physician Bas (CCS-P)&nbsp;</li><li>Cert Inpatient Coder (CIC)</li><li>Cert Interv Radiology CV Coder (CIRCC)&nbsp;</li><li>Cert Outpatient Coder (COC)</li><li>Cert Professional Coder (CPC)&nbsp;</li><li>Reg Health Info Administrator (RHIA)</li><li>Reg Health Information Technic (RHIT)</li></ul></li></ul>