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 on 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 in-services, provides feedback, and assists others by sharing knowledge.
• Responds promptly to internal and external customer requests, including requests to code or review 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.
• Maintains abstracting quality by reviewing discharge disposition and correcting data when necessary.
• 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 the Standards of Ethical Coding set forth by AHIMA and follows official guidelines.
• Meets department productivity standards while ensuring accuracy.
• Supports organizational goals related to accounts receivable for uncoded accounts.
• Ensures coding work items are processed within established departmental timeframes.
• Evaluates personal performance, accepts constructive criticism, and looks for ways to improve.
• Contributes ideas to improve coding and abstracting data quality.

Work Attire

• Uniform: No
• Scrubs: No
• Business professional: Yes
• Other: No

On-Call

• No

Travel

• May require travel within the Houston metropolitan area
• May require travel outside the Houston metropolitan area