At Houston Methodist, the Inpatient Coder is responsible for accurately assigning diagnostic and procedure codes to inpatient encounters based on documentation in the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
This role supports coding quality, abstracting accuracy, and timely processing of uncoded accounts within departmental standards.
Key responsibilities include:
- Assigning accurate ICD-10-CM and ICD-10-PCS codes using an electronic encoder application
- Reviewing medical record documentation to determine principal diagnosis, secondary conditions, complications, and procedures
- Abstracting data into the encoder and EPIC/EHR systems
- Communicating with physicians to clarify diagnoses and procedures as needed
- Supporting coding team collaboration, quality improvement, and productivity goals
- Maintaining compliance with AHIMA ethical coding standards and official guidelines
Requirements & Qualifications
Qualifications
Education
- Associate’s degree or higher in a CAHIIM-accredited program, or an additional two years of experience in lieu of degree
Experience
- One year of relevant inpatient coding experience, or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
Licenses and Certifications
- RHIT, RHIA, or CCS required
Skills and Abilities
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines, and coding compliance
- Working knowledge of medical terminology, anatomy, and physiology
- Proficiency with electronic encoder applications preferred
- Knowledge of electronic medical records and imaging systems preferred
- Strong PC skills and ability to work with office software, coding software, and abstracting systems
- Strong communication skills and ability to work effectively with patients, physicians, family members, and coworkers
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago
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