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Texas Children's Hospital · 1 month ago

Professional Coding Quality Assurance Specialist III

Houston, TX

Full-time

Onsite

Mid Level

4+ years exp

Texas Children's Hospital is a leading healthcare provider specializing in pediatric care and research. They are seeking a Coding Quality Assurance Specialist III to audit and assign ICD-10-CM and DRG codes for hospital inpatient records, ensuring accurate coding for billing and compliance with regulations.

EducationHealth Care

H1B Sponsor Likely

Responsibilities

Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records

Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes

Communicates with and provides feedback to the education team and/or providers

Reviews patient charges to determine necessary coding to complete the account

Identifies principle and secondary diagnoses and procedure codes from the electronic medical record

Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures

Sequences diagnosis and procedures to generate appropriate billing

Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials)

Assists other coders in resolving coding problems

Completes abstracts for records as appropriate

Assists in correction of problem accounts

Reviews charts for completeness

Participates in education and maintains certification

Assists in auditing records

Maintains concurrent coding for inpatient records

Qualification

ICD-10-CM codingDRG codingCoding certificationsEncoder proficiencyElectronic medical recordsCoding experienceCommunication skillsTeam collaborationAttention to detail

Required

High School Diploma or equivalent

One of the following Licenses/Certifications: CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC), CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA), CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA), CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC), COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC), CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC), CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC), RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA), RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)

4 years coding experience with preferred experience using an encoder and experience using an electronic medical record

Company

Texas Children's Hospital

Glassdoor3.9

Texas Children’s Hospital is a world-class pediatric facility, nationally recognized as a top children’s hospital.

Founded in 1954

Houston, Texas, USA

10001+ employees

http://texaschildrenspeople.org/

H1B Sponsorship

Texas Children's Hospital has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2025 (9)

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2022 (12)

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2020 (12)