Experience Inc. Jobs

Hours of Work :

8-5

Days Of Week :

Mon-Fri

Work Shift :

Job Description :

Location:

Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.

Job Relationships:

Reports to Coding Manager

Certification Requirements:

Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required

Skills, Credentials, Professional Qualifications

High school diploma or equivalent; Associate degree is an asset

A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding

Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies

Independently disciplined in time management and productivity

Experience in electronic medical record software, preferably Epic

Microsoft Office proficient

Ability to communicate written and oral coding information to healthcare professionals

Job Summary:

Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services.

Primary Responsibilities:

1. Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission.

2. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation.

3. The coder will be assigned specialty specific work queue(s) to include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery.

4. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder’s pre-claim review. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies.

5. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer.

6. Participates in education programs and monthly department meetings.

7. Maintains 90% or higher coding accuracy.

8. Maintains department required production.

9. Other duties as assigned.

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Established to meet the healthcare needs of North Texas communities, our fast-growing network of providers includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. Methodist Medical Group employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

• A Best Place to Work 15 years straight by the Dallas Business Journal

• 150 Great Places to Work in Healthcare nine years in a row by Becker’s Hospital Review

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• One of three 2019 Top Healthcare Diversity Organizations in the U.S.

• Military Friendly Employer, Silver Designation

Our Care Commitments

• Take Care of Patients

• Take Care of Each Other

• Take Care of Ourselves

• Take Care of Methodist

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers

• 150 Top Places to Work in Healthcare by Becker’s Hospital Review , 2023

• Top 10 Military Friendly® Employer, Gold Designation, 2023

• Top 10 Military Spouse Friendly® Employer, 2023

Equal Opportunity Employer

It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.