Outpatient Certified Coder

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
**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). **

Accounts are for Outpatient single and recurring accounts. No CPT coding. Will only code the ancillary/recurring accounts. They would not need experience in any of the other areas mentioned. Preferred experience in medical necessity edits.

Responsible for primary diagnosis and procedural coding for designated ambulatory and hospital outpatient setting. Responsible for proficiently assigning proper and accurate medical codes for diagnosis, procedures, and services performed in an outpatient setting, such as, but not limited to emergency department, outpatient clinics, same day surgeries, or diagnostic testing (radiology and laboratory). Typically reports to the Coding Manager. Job Description
Minimum Qualifications

Education: High School Diploma or GED required; Associates degree in Health Information Management orany Healthcare Related Field preferred

Licenses/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or relevant Coding certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
Experience / Knowledge / Skills:

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Surgery/Observation - Three (3) years of hospital or ambulatory coding experience required.

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Emergency Department - Two (2) years of hospital or ambulatory coding experience required.

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Interventional Radiology - Two (2) years of hospital or ambulatory coding experience required.

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Ancillary/Recurring - One (1) year of hospital or ambulatory coding experience preferred.

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Experience coding in a level 1 trauma facility/academic teaching facility preferred.

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Effective oral and written communication skills.

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Strong knowledge of ICD-10-CM and/or CPT.

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Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.

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Proficient knowledge of human anatomy, physiology, medical terminology and surgical terminology.

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Critical thinking, good judgment and decision-making skills.

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Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.

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Proficient in navigating a Windows-based application environment.

Principal Accountabilities

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Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for outpatient records and accurately code the diagnoses and procedures using ICD-10-CM coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.

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Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges.

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Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.

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Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution.

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Effectively assigns ICD-10-CM, modifiers, and HCPCS codes to outpatient records.

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