Responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based on documentation in the electronic medical record, while maintaining compliance with established rules and regulatory guidelines.
Key duties include reviewing medical record documentation, abstracting data into the encoder and EPIC/EHR, assigning ICD-10-CM and ICD-10-PCS codes, responding to coding review requests, and initiating physician queries when needed. The role also supports productivity standards, accounts receivable goals for uncoded accounts, and timely processing of coding queue work items.
Associate’s degree or higher in a CAHIIM-accredited program, or an additional two years of relevant experience in lieu of the 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 hold one of the following certifications:
- RHIT (Certified Health Information Technician, AHIMA)
- RHIA (Registered Health Information Administrator, AHIMA)
- CCS (Certified Coding Specialist, AHIMA)
Additional qualifications and skills:
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines, and coding compliance
- Working knowledge of medical terminology, anatomy, and physiology
- Knowledge of electronic medical records and imaging systems preferred
- Proficiency with electronic encoder applications preferred
- Strong PC skills and ability to work with office software, coding software, and abstracting systems
- Effective communication skills with patients, physicians, family members, and coworkers
- Ability to maintain accuracy, productivity, and ethical coding standards
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago