Professional Fee Coder I at Baylor College of Medicine

Location: Houston, TX

Cap-Exempt H-1B Position — No lottery required

## **Summary** The Patient Business Services (PBS) Coding department is looking for a motivated, entry level I 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, Baylor St. Luke's Medical Center, Harris Health Ben Taub Hospital, as well as outpatient facility charges at McNair Campus. We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations. The ideal candidate will have good organizational and critical thinking skills. Candidates will also need good communication skills and work well with little direct supervision. Training in physiology and anatomy strongly preferred. Candidates need to be computer literate with experience in Microsoft Office tools (e.g. Word, PowerPoint, Excel), Epic EHR and Citrix Portal strongly preferred. This position is located at Greenway Plaza with opportunities to telecommute. The candidate may be required to come on-site occasionally. ## **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