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Houston Methodist

Senior Outpatient Coder

Houston Methodist, Florida, New York, United States

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Senior Outpatient Coder

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Houston Methodist

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.

FLSA Status:

Non‑exempt

Qualifications

Education:

Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience in lieu of a degree.

Experience:

Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program.

Licenses and Certifications (Required):

RHIT – Certified Health Information Technician (AHIMA)

RHIA – Registered Health Information Administrator (AHIMA)

CCS – Certified Coding Specialist (AHIMA)

CCA – Certified Coding Associate (AHIMA)

CCS‑P – Certified Coding Specialist Physician‑Based (AHIMA)

CPC – Certified Professional Coder (AAPC)

Skills and Abilities:

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on‑going assessments and evaluations.

Proficiency in speaking, reading, and writing English required for essential functions, especially with regard to activities impacting patient or employee safety or security.

Effective communication with patients, physicians, family members and co‑workers, maintaining a customer‑service focus and applying positive language principles.

Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance.

Knowledge of an electronic medical record and imaging systems.

Working knowledge of medical terminology, anatomy and physiology.

Proficiency with electronic encoder application.

Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems.

Essential Functions

People Essential Functions:

Interacts and communicates effectively with members of the coding team and appropriate stakeholders; participates in coding section meetings and education in‑services; takes initiative to assist others and shares knowledge.

Service Essential Functions:

Responds promptly to internal and external customer requests; initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.

Quality/Safety Essential Functions:

Responsible for assigning diagnostic and procedural codes; maintains departmental coding quality standards by assigning accurate ICD‑10‑CM/ICD‑10‑PCS and CPT codes and APC assignment; reviews medical record documentation and abstracts data into the encoder and EHR to determine principal or final diagnosis, co‑morb conditions and complications, secondary conditions and procedures; complies with the Standards of Ethical Coding set forth by AHIMA and adheres to official guidelines.

Finance Essential Functions:

Utilizes time effectively; consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding; supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts; maintains coding timeframes within established departmental standards.

Growth/Innovation Essential Functions:

Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve; displays initiative to improve relative to job function; contributes ideas to help improve quality of coding data and abstracting data.

Supplemental Requirements

Work Attire:

No uniform; no scrubs; business professional: yes; other department approved: no.

On‑Call:

Note that employees may be required to be on‑call during emergencies (Disaster, Severe Weather Events, etc) regardless of selection below; On Call: no.

Travel:

Travel specifications may vary by department; may require travel within the Houston Metropolitan area: yes; may require travel outside Houston Metropolitan area: yes.

Seniority Level Mid‑Senior level

Employment Type Full‑time

Job Function Health Care Provider

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