Responsible for accurately assigning diagnostic and procedure codes to inpatient encounters based on electronic medical record documentation while maintaining compliance with established rules and regulatory guidelines.
The role reviews medical record documentation, abstracts key clinical data into coding and abstracting systems, queries physicians when needed, and supports coding quality, productivity, and accounts receivable goals.
This is a non-exempt position at Houston Methodist with responsibility for maintaining coding accuracy, timeliness, and adherence to AHIMA ethical coding standards.
Requirements & 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
Certifications
- RHIT (AHIMA)
- RHIA (AHIMA)
- CCS (AHIMA)
- Must have at least one of the above certifications
Skills and knowledge
- 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 use coding, abstracting, and office software
- Strong communication skills and ability to interact with patients, physicians, and coworkers
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago
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