[Hiring] Senior Certified Inpatient Coding Specialist @Memorial Hermann Health System

Role Description

POSITION IS REMOTE BUT YOU MUST MEET QUALIFICATIONS LISTED IN JOB DESCRIPTION.

• If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas).
• Responsible for reviewing and abstracting inpatient medical records.
• Identify and assign accurate medical codes for diagnosis, procedures, and services in an inpatient setting.
• Ensure that all data elements required for federal or state reporting and billing are collected and included in the patient’s demographic record.
• Typically reports to the Coding Manager.

Qualifications

• High School Diploma or GED required; Associates degree in Health Information Management or any Healthcare Related Field preferred.
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
• Five (5) years of inpatient hospital coding experience required.
• Experience coding in a level 1 trauma facility/academic teaching facility strongly preferred.
• Effective oral and written communication skills.
• Strong knowledge of ICD-10-CM and PCS coding.
• Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.
• Strong knowledge of human anatomy, physiology, medical terminology, and surgical terminology.
• Critical thinking, good judgment, and decision-making skills.
• Knowledge of coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures affecting the coding process.
• Proficient in navigating a Windows-based application environment.

Requirements

• Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
• Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges.
• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution.
• Effectively assigns ICD-10 codes and DRGs to inpatient records.
• Responsible for maintaining 92% to 95% in ICD-10 and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• 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.
• 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.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
• Other duties as assigned.