Houston Methodist
Inpatient Coder
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At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
FLSA Status Non-exempt
Qualifications
Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience in lieu of degree.
One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program.
Must have one of the following: RHIT – Certified Health Information Technician (AHIMA); RHIA – Registered Health Information Administrator (AHIMA); or CCS – Certified Coding Specialist (AHIMA).
Demonstrates the skills and competencies necessary to safely perform the assigned job, as determined through ongoing skills, competency assessments and performance evaluations.
Proficiency in spoken, reading and writing English necessary to perform the essential functions of this job.
Ability to communicate with patients, physicians, family members and co-workers in a customer‑service focused manner.
Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance.
Knowledge of an electronic medical record and imaging systems preferred.
Working knowledge of medical terminology, anatomy and physiology.
Proficiency with electronic encoder application preferred.
Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems.
Essential Functions
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
Participates and provides good feedback during coding section meetings and coding education services, and assists others sharing knowledge with the appropriate stakeholders.
Responds promptly to internal and external customer requests.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, using the established physician query process.
Maintains and achieves the highest standards of coding quality by assigning accurate ICD‑10‑CM and ICD‑10‑PCS codes using an electronic encoder application in accordance with hospital policy and regulatory guidelines.
Review medical record documentation and abstract data into the encoder and EPIC/Electronic Health Record to determine principal or final diagnosis, co‑morbidity conditions and complications, secondary conditions and procedures.
Complies with the Standards of Ethical Coding set forth by AHIMA and adheres to official guidelines.
Utilizes time effectively; consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding.
Supports meeting the organizational goal for Accounts Receivable (AR) associated with uncoded accounts.
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.
Supplemental Requirements
Uniform: No
Scrubs: No
Business professional: Yes
On‑call: No
May require travel within the Houston Metropolitan area and outside Houston Metropolitan area.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
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At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
FLSA Status Non-exempt
Qualifications
Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience in lieu of degree.
One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program.
Must have one of the following: RHIT – Certified Health Information Technician (AHIMA); RHIA – Registered Health Information Administrator (AHIMA); or CCS – Certified Coding Specialist (AHIMA).
Demonstrates the skills and competencies necessary to safely perform the assigned job, as determined through ongoing skills, competency assessments and performance evaluations.
Proficiency in spoken, reading and writing English necessary to perform the essential functions of this job.
Ability to communicate with patients, physicians, family members and co-workers in a customer‑service focused manner.
Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance.
Knowledge of an electronic medical record and imaging systems preferred.
Working knowledge of medical terminology, anatomy and physiology.
Proficiency with electronic encoder application preferred.
Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems.
Essential Functions
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
Participates and provides good feedback during coding section meetings and coding education services, and assists others sharing knowledge with the appropriate stakeholders.
Responds promptly to internal and external customer requests.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, using the established physician query process.
Maintains and achieves the highest standards of coding quality by assigning accurate ICD‑10‑CM and ICD‑10‑PCS codes using an electronic encoder application in accordance with hospital policy and regulatory guidelines.
Review medical record documentation and abstract data into the encoder and EPIC/Electronic Health Record to determine principal or final diagnosis, co‑morbidity conditions and complications, secondary conditions and procedures.
Complies with the Standards of Ethical Coding set forth by AHIMA and adheres to official guidelines.
Utilizes time effectively; consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding.
Supports meeting the organizational goal for Accounts Receivable (AR) associated with uncoded accounts.
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.
Supplemental Requirements
Uniform: No
Scrubs: No
Business professional: Yes
On‑call: No
May require travel within the Houston Metropolitan area and outside Houston Metropolitan area.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
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