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.
The role supports timely coding, abstraction, and review of inpatient accounts to help maintain data quality, coding accuracy, and revenue cycle performance.
Key responsibilities
- Assign accurate ICD-10-CM and ICD-10-PCS codes using an electronic encoder application in accordance with hospital policy and regulatory guidelines.
- Review medical record documentation to determine principal diagnosis, comorbid conditions, complications, secondary conditions, and procedures.
- Abstract data into the encoder and EPIC/EHR systems.
- Correct discharge disposition, physician identification number, and procedure date as needed.
- Respond to requests to code or review accounts for accuracy.
- Initiate physician queries when diagnoses or procedures need clarification.
- Maintain productivity and coding timeframes while ensuring quality and compliance.
- Contribute to coding education, feedback, and continuous improvement efforts.
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
Must have one of the following:
- RHIT (Certified Health Information Technician)
- RHIA (Registered Health Information Administrator)
- CCS (Certified Coding Specialist)
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.
- Proficiency with electronic encoder applications preferred.
- Experience with electronic medical records and imaging systems preferred.
- Strong PC skills and ability to use office, coding, and abstracting systems.
- Strong communication skills and ability to work with patients, physicians, family members, and coworkers.
- Proficiency in speaking, reading, and writing English.
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago
Browse More Jobs