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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 charge capture, with proficiency in ICD-9, ICD-10, and CPT codes. Capable of mentoring coding specialists and collaborating effectively with clinical staff to ensure accurate coding and reduce claim denials.
Highest-signal resume keywords
Certified Coding Specialist (CCS)Certified Professional Coder (CPC)ICD-9, ICD-10, and CPT CodingMedical Terminology, Anatomy, and Physiology KnowledgeMentoring and Leadership Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Medical CodingCharge CaptureCoding ConventionsClaim Denial AppealsCoding Workflow ManagementCharge ReviewClaim Edit SessionsCritical ThinkingMultitasking
Soft Skills
Communication SkillsTraining SkillsIndependent Work
Tools & Technologies
3M EncoderMicrosoft Office (Word, Excel)
Certifications & Qualifications
Certified Coding Specialist (CCS)Certified Professional Coder (CPC)
Industry Keywords
Clinical EnvironmentHealthcarePatient Charge EncountersThird-Party ClaimsHouston Metropolitan Area
About the role
Key responsibilities & impact- Apply correct coding conventions to patient charge encounters in a clinical environment
- Abstract diagnoses and procedural services from physician records
- Review and correct charge review and claim edit 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 diagnoses and procedures
- Collaborate with management on coding and diagnosis issues 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 to ensure continuous coding and charge capture activities
- 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
- Assist with department-specific coding workflows and expectations
- Match charge documents, billing sheets, operative reports, and medical records to ensure correct codes and capture billable services
- Complete charge review and claim edit sessions within two business days of posting
- Investigate and appeal unpaid, denied, and partially paid third-party claims
- Provide coding and documentation education to physicians and clinical staff
Requirements
What you’ll need- High School diploma or equivalent education (including GED, homeschool equivalency, partial or full completion of post-secondary education)
- Five years of professional coding experience
- One of: CCS - Certified Coding Specialist (AHIMA) or CPC - Certified Professional Coder (AAPC)
- English speaking, reading, and writing proficiency
- 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
- Must reside in Texas
- Ability to travel within the Houston Metropolitan area
Benefits
Comp & perks- Remote or hybrid work arrangement
- Full-time employment
- Business professional attire
- No on-call requirement (except emergencies)
- Professional growth and development
- Continuing education through coding round tables and in-services
- Quarterly coding and revenue integrity team meetings
- Travel within the Houston Metropolitan area may be required