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Texas Children's Hospital · 1 month ago

Professional Coding Quality Assurance Specialist II

Houston, TX

Part-time

Onsite

Entry, Mid Level

2+ years exp

Texas Children's Hospital is a leading pediatric healthcare provider, known for its commitment to patient care, education, and research. The Coding Quality Assurance Specialist II will be responsible for auditing and assigning codes for medical records, ensuring accuracy for billing and compliance purposes.

EducationHealth Care

H1B Sponsor Likely

Responsibilities

Assigns ICD-10-CM, ICD-10-PCS, and CPT codes

Reviews and interprets documentation for appropriate diagnosis and procedures

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

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

Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures

Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing

Queries physicians to obtain clarification or missing elements in the record preventing correct coding

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

Assists other coders in resolving coding problems/questions

Provides ICD-10 and CPT, for physician research projects, and reporting purposes

Completes abstracts for records when appropriate

Identifies problem accounts

Corrects problem accounts

Participates in education and maintains certification

Assists in auditing records

Maintains concurrent coding for inpatient records

Qualification

ICD-10-CM codingCPT codingCertified Coding AssociateCertified Coding SpecialistOutpatient coding experienceCommunication skillsProblem-solving skillsTeam collaboration

Required

High School Diploma or GED

CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)

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 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)

2 years' experience in coding

Preferred

Outpatient, Professional coding experience in the following specialties HIGHLY DESIRED: General Surgery, Plastics, Oto and Ortho

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)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (9)

2024 (18)

2023 (9)

2022 (12)

2021 (11)

2020 (12)