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Sr Outpatient Coder
Houston Methodist —Florida
- Full-time
- Anatomy knowledge
- Surgery
- English
13d

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Sr Outpatient Coder
Houston Methodist —Florida
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve. Demonstrates the skills and competencies necessary to…
13d

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Sr Outpatient Coder

Houston Methodist -
Florida

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Job Details

Full-time
13 days ago

Qualifications

Computer operation
Customer communication
Anatomy knowledge
Regulatory compliance
English
Electronic health record (EHR) management for billing and coding
Desktop applications
Health information regulatory compliance
Health information management
Productivity software
Clinical documentation standards
Medical terminology
DRG

Full Job Description

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.

FLSA STATUS
Non-exempt

QUALIFICATIONS

EDUCATION

Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

EXPERIENCE

Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program

LICENSES AND CERTIFICATIONS
Required

Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA – Certified Coding Associate (AHIMA) •CCS-P – Certified Coding Specialist Physician-Based (AHIMA) •CPC – Certified Professional Coder (AAPC)

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
Knowledge of an electronic medical record and imaging systems
Working knowledge of medical terminology, anatomy and physiology
Proficiency with electronic encoder application

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.

SERVICE ESSENTIAL FUNCTIONS

Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy.
Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.

FINANCE ESSENTIAL FUNCTIONS

Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding.
Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No

ON-CALL*

- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No

TRAVEL**

**Travel specifications may vary by department**

- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes

QUALIFICATIONS

EDUCATION

Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree

EXPERIENCE

Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program

LICENSES AND CERTIFICATIONS
Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA – Certified Coding Associate (AHIMA) • CCS-P – Certified Coding Specialist Physician-Based (AHIMA) • CPC – Certified Professional Coder (AAPC)

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!

Houston Methodist is an Equal Opportunity Employer.

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