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

Essential Functions

• Interacts and communicates effectively with members of the coding team and appropriate stakeholders.
• Participates in coding section meetings and coding education inservices, provides feedback, assists others, and shares knowledge.
• Responds promptly to internal and external customer requests and reviews coded accounts for accuracy.
• Initiates physician queries to obtain or clarify diagnoses and/or procedures as appropriate.
• Assigns accurate ICD-10-CM and ICD-10-PCS codes using an electronic encoder application in accordance with hospital policy and regulatory guidelines.
• Reviews discharge disposition and enters physician identification number and procedure date correctly in the medical record abstracting system.
• Abstracts data into the encoder and EPIC/Electronic Health Record to determine principal or final diagnosis, co-morbid conditions, complications, secondary conditions, and procedures.
• Complies with AHIMA Standards of Ethical Coding and official guidelines.
• Maintains coding productivity and accuracy standards and supports organizational AR goals related to uncoded accounts.
• Ensures work items in coding queues are processed within established timeframes.
• Evaluates personal performance, accepts feedback, and contributes ideas to improve coding and abstracting quality.

Supplemental Requirements

• Uniform: No
• Scrubs: No
• Business professional: Yes
• On-call: No
• May require travel within the Houston Metropolitan area
• May require travel outside the Houston Metropolitan area