Role Description
Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Typically reports to Coding Manager.
Qualifications
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High School Diploma or GED required; Associate Degree in medical area preferred.
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One of the following licenses is required:
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Certified Coding Specialist (CCS)
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Certified Professional Coder (CPC)
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Registered Health Information Technician (RHIT)
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Registered Health Information Administrator (RHIA)
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Certified Medical Coder (CMC)
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Certified Coding Associate (CCA)
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Two (2) years outpatient coding experience required; six (6) months of HCC experience preferred.
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Ability to code multi-specialties for physicians including E&M Levels.
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Effective oral and written communication skills.
Requirements
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Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
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Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4, E&M Levels, and modifiers.
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Reviews documentation to extract and enter data accurately for other abstracting fields.
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Follows coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures affecting the coding process.
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Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
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Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
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Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
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Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermannβs service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
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Other duties as assigned.