Senior Outpatient Coder

Senior Outpatient Coder – 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 on documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.

FLSA Status:
Non‑exempt

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

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

• 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)

• 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  English 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 andIDDEN 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.
• iyi proficiency with electronic encoder application.
• Extensive PC knowledge — must be able to work effectively in common office software, coding software and abstracting systems.

• Interacts and communicates effectively with members of the coding team and appropriate stakeholders.
• Participates and provides good feedback during coding section meetings and coding education services and shares knowledge with stakeholders.

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

• Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
街Maintains and achieves departmental standards of coding quality by assigning accurate ICD‑10‑CM/ICD‑10‑PCS and CPT codes and APC assignment using an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
• Maintains and achieves departmental standards పంపᅮ abstracting quality by reviewing the discharge disposition entered by nursing and correcting if necessary 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 AHIMA and adheres to official guidelines.

• Utilizes time effectively and consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding. inuiaqatigi
  
  Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
• Maintains coding time frames within established departmental…