University Health
Medical Records Coder-Senior
8431 Fredericksburg Rd, San Antonio, TX 78229
On-site · Full-time
First seen by offpeak October 4, 2026
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- Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
- Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
- Works coding related charge review and claim edits daily to ensure timely and accurate billing.
- Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
- Contacts other facilities to obtain medical records and information need to bill for services rendered.
- Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
- Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation.
- Reviews charge documents for completeness.
- Updates coding books with changes as accepted and published by regulatory agencies.
- Performs all other duties as assigned.
- Proficiency in ICD-10 and CPT coding.
- In-depth understanding of medical terminology, anatomy and physiology.
- Meticulous attention to detail and accuracy.
- A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
- Strong verbal, written and interpersonal communication skills.
Education
High school diploma or GED is required.
Licenses and Certifications
- License and Certifications
- CBCS Certified Billing and Coding Specialist (National Healthcareer Association)
- RHIT Registered Health Information Technician (AAPC)
- RHIA Registered Health Information Administrator (AAPC)
- CCS Certified Coding Specialist (AAPC)
- CPC Certified Professional Coder (AAPC)