Professional Coding Revenue Cycle Specialist

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Job Summary

Professional Coding Rev Cycle Specialist is responsible for the ongoing development and implementation of Professional Billing and Coding within the Outpatient Coding department. This position will be responsible for maintaining a comprehensive understanding of all tasks within the unit, ensuring that all tasks and procedures are documented and up to date. Additionally, this person will oversee the coordination of work queues, ensuring that the quality of work remains exceptional. One of the most significant aspects of this position is the ongoing review and analysis of routine data to identify trends or issues affecting the PB revenue cycle, taking appropriate measures to resolve these issues while collaborating closely with Harris Health revenue cycle and HIM/Coding colleagues to implement innovative solutions.

Minimum Qualifications

School Education

Diploma / GED

Degrees

Associates: Health Information Management or Health Administration (Preferred)

Licenses & Certifications

Certified Professional Biller (Preferred)
Certified Professional Coder

Work Experience

Five (5) Years Work Experience: in professional billing and coding or equivalent.

Communication Skills

Above Average Verbal Communication (Heavy Public Contact)
Exceptional Verbal (Public Speaking)
Writing /Correspondence
Writing /Reports

Proficiencies

MS Excel
MS Word
MS PowerPoint
Typing
P.C.

Job Attributes

Knowledge/Skills/Abilities

Analytical
Medical Terminology Knowledge
Research

Work Schedule

Flexible
Telecommute

Other Special Requirements

Other Requirements: Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-10-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes. Detail knowledge of medical terminology, abbreviation, anatomy and physiology, major disease processes, and pharmacology. Detailed knowledge of classifications systems, ICD-10-CM nomenclature, CPT-4 and HCPCS coding rules, guidelines, and proper sequencing. Privacy Act of 1974 and HIPAA standards. Knowledge of ethical coding guidelines and revenue cycle activities. Skill in interpreting and applying ethical coding standards, billing and understanding of federal and state laws and regulations, and following professional practice standards for health care organization coding and billing compliance program activities.

Equipment Operated: Standard office equipment, PCs, EPIC EMR, 3M 360