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Senior Coding Specialist
Houston Methodist. Apply correct coding conventions to patient charge encounters in a clinical environment .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and billing, including proficiency in ICD-9, ICD-10, and CPT codes, while providing mentorship and training to coding specialists. Strong ability to communicate effectively with clinical staff and manage claim denials in a fast-paced healthcare environment.
Highest-signal resume keywords
Certified Coding Specialist (CCS)Certified Professional Coder (CPC)ICD-9, ICD-10, and CPT CodingMedical Terminology KnowledgeMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingCharge ReviewClaim Denial ManagementCoding Workflow CreationClinical Appeals Submission
Soft Skills
Leadership SkillsMentoring SkillsInterpersonal SkillsCritical ThinkingCustomer Service
Tools & Technologies
3M EncoderElectronic Health Record (EHR)
Certifications & Qualifications
Certified Coding Specialist (CCS)Certified Professional Coder (CPC)
Industry Keywords
Healthcare EnvironmentPatient Charge EncountersMedical RecordsAnatomy and PhysiologyTexas Residency
About the role
Key responsibilities & impact- Apply correct coding conventions to patient charge encounters in a clinical environment
- Abstract diagnosis and procedural services from physician records
- Review and correct charge review and claim edit-related coding errors in the electronic health record
- Review, correct, and appeal coding-related claim denials
- Mentor and cross-train Coding Specialists
- Communicate with physicians and Physician Organization Central Business Office staff to clarify diagnosis and procedures
- Collaborate with management to reduce claim denials
- Respond to internal requests for medical coding information
- Participate in coding round tables and in-services
- Provide backup coverage and cross-training for team members
- Code and abstract medical records for reimbursement using current coding conventions, guidelines, and tools such as 3M encoder
- Verify and substantiate diagnoses and procedures for charge review, claim edits, and denied claims
- Submit clinical appeals or corrected claims
- Create and review department-specific coding workflows
- Match charge documents, billing sheets, operative reports, and medical records to ensure accurate coding and capture billable services
- Complete charge review and claim edit sessions within two business days
- Investigate and appeal unpaid, denied, and partially paid third-party claims
- Provide ongoing coding and documentation education to physicians and clinical staff
Requirements
What you’ll need- High School diploma or equivalent education
- Five years of professional coding experience
- Must have one of: CCS (Certified Coding Specialist, AHIMA) or CPC (Certified Professional Coder, AAPC)
- Must reside in Texas
- Proficiency in speaking, reading, and writing English
- Knowledge of ICD-9, ICD-10, and CPT codes
- Working knowledge of medical terminology, anatomy, and physiology
- Proficiency with Microsoft Office applications such as Word and Excel
- Ability to think critically and work independently
- Ability to multitask in a fast-paced, rapidly changing healthcare environment
- Strong training, leadership, and mentoring skills
- High level of professionalism, customer service, interpersonal skills, and confidentiality
- Ability to travel within the Houston Metropolitan area
Benefits
Comp & perks- Remote or hybrid work arrangement
- Full-time employment
- Business professional work attire
- Ongoing professional growth and development
- Continuing education through coding round tables and in-services
- Quarterly coding and revenue integrity team meetings
- Mentoring and cross-training opportunities