Senior Coder - RCO Coding (Remote)

June 4, 2026

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EDUCATION & EXPERIENCE:Minimum Qualifications:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Three years of multi-specialty coding experience.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Experience with communicating, training, and educating providers in proficiency.</li></ul>Preferred Qualifications:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Experience in a Level I–IV Trauma Center, teaching hospital, or acute care hospital setting.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Experience with denial management.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Proficiency with Epic and/or 3M Encoder.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Experience in a remote coding environment.</li></ul>REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:One of the following:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CCA – Certified Coding Associate (AHIMA) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CCS – Certified Coding Specialist (AHIMA) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">RHIA – Registered Health Information Administrator (AHIMA) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">RHIT – Registered Health Information Technician (AHIMA)</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CIC – Certified Inpatient Coder (AAPC) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">COC – Certified Outpatient Coder (AAPC) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CPC – Certified Professional Coder (AAPC) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CPC-A – Certified Professional Coder – Apprentice (AAPC) or</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">CRC – Certified Risk Adjustment Coder (AAPC)</li></ul>JOB SUMMARY:Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.ESSENTIAL JOB FUNCTIONS:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Attends and participates in coding education sessions.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Obtains required CEU’s for certification and completes any required education.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Work all PB/HB claim edits and reject errors daily.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Hospital DNB’s will be worked as assigned per Specialty.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Adheres to internal controls and reporting structure.</li></ul>Marginal or Periodic Functions:<ul type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;">Performs related duties as required.</li></ul>KNOWLEDGE/SKILLS/ABILITIES:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Strong written and oral communication skills.</li></ul>WORKING ENVIRONMENT/EQUIPMENT:<ul style="margin-top:0in;" type="disc"><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Standard office environment at UTMB’s main campus or other location.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Occasional travel may be required.</li><li class="MsoNormal" style="background-color:white;color:black;line-height:normal;margin-bottom:9.0pt;mso-list:l0 level1 lfo2;tab-stops:list .5in;">Standard office equipment</li></ul>SALARY RANGE:Actual salary commensurate with experience.WORK SCHEDULE:Remote, Monday through Friday, Full-Time Position. Equal Employment OpportunityUTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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