At Houston Methodist, the Inpatient Coder is responsible for assigning diagnostic and procedure codes accurately to inpatient encounters based on documentation in the electronic medical record. The role ensures compliance with applicable coding rules, regulatory guidelines, and hospital policies while supporting timely abstracting and revenue cycle performance.
Key responsibilities include:
- Assigning accurate ICD-10-CM and ICD-10-PCS codes using an electronic encoder
- Reviewing medical record documentation to determine principal diagnoses, comorbidities, complications, secondary conditions, and procedures
- Abstracting data into the encoder and EPIC/EHR systems
- Querying physicians when diagnoses or procedures need clarification
- Maintaining coding quality, productivity, and timeliness standards
- Supporting accounts receivable goals tied to uncoded accounts
- Participating in coding meetings, education, and process improvement efforts
Requirements & Qualifications
- Associate’s degree or higher in a CAHIIM-accredited program, or two additional years of experience in lieu of degree
- At least 1 year of relevant inpatient coding experience, or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
- One of the following certifications required: RHIT, RHIA, or CCS (AHIMA)
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines, and coding compliance
- Working knowledge of medical terminology, anatomy, and physiology
- Experience with electronic medical records and imaging systems preferred
- Proficiency with electronic encoder applications preferred
- Strong PC skills and ability to work in office, coding, and abstracting systems
- Effective written and verbal communication skills
Location
Nashville, Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago
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