Medical Coder (2097)

US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX

Position Summary 

The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. 

Responsibilities:

• Reviews encounter in a timely manner and resolves all coding-related edits. 
• Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines. 
• Generates physician queries following established procedures. 
• Provides feedback and education as required. 
• Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits. 
• Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits. 
• Abstracts information needed for billing. 
• Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department. 
• Meets the required coding quality and productivity expectations per department policy and procedures. 
• Completes all education assigned by USHV leadership and compliance. 
• Maintains required continued education hours relevant to professional credentials 
• Stays current with all federal, state, coding, and departmental guidelines and procedures. 
• Performs other duties as assigned. 

Requirements:

• Analytical skills, ability to interpret data and maintain spreadsheets 
• Knowledge of ICD-10CM and CPT coding conventions 
• High-level understanding of all federal/governmental regulations, coding guidelines, and revenue cycle policies and procedures
• Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms 
• High School Diploma or equivalent required 
• 3 years of related experience required 
• 2 years of experience coding complex procedures preferred 
• May substitute required experience with equivalent years beyond the minimum education requirement.  
• One or more of the following credentials are required within 12 months of employment: 
  • Registered Health Information Administrator (RHIA), 
  • Registered Health Information Technician (RHIT), 
  • Certified Coding Specialist (CCS),   
  • Certified Coding Specialist-Physician-based (CCS-P),   
  • Certified Professional Coder (CPC)  
  • Certified Cardiology Coder (CCC) 

Houston, TX: Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.