Responsible for ensuring accurate diagnosis and procedure coding for outpatient and/or inpatient encounters based on electronic medical record documentation.
Performs data quality reviews to support data integrity, coding accuracy, and revenue preservation.
Participates in quality review and performance improvement initiatives across the department and/or facility.
Works closely with coding, HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access, and Business Office teams.
May require travel within and outside the Houston metropolitan area.
Requirements & Qualifications
Education
- Associate degree or higher from a CAHIIM-accredited Health Informatics and Information Management program
- Or an additional 2 years of relevant experience in lieu of degree
Experience
- 5 years of coding experience relevant to the auditing area, such as inpatient, outpatient, or professional fee coding
Certifications
- Inpatient/Outpatient coding: RHIT, RHIA, or CCS from AHIMA required
- Professional fee coding: CPC from AAPC required
Skills
- Knowledge of electronic medical records and imaging systems
- Working knowledge of medical terminology, anatomy, and physiology
- Proficiency with electronic encoder applications
- Ability to communicate effectively with patients, physicians, family members, and coworkers
- Understanding of coding guidelines, DRG/APC assignment, and documentation review
- AHIMA-designated ICD-10 Approved Trainer preferred
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago
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