Outpatient Certified Coder (Remote)
Role Overview
**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.
Key Skills for This Role
Full Job Posting
Minimum Qualifications
- Education: High School Diploma or GED required; Associates degree in Health Information Management or any 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
- Surgery/Observation - Three (3) years of hospital or ambulatory coding experience required.
- Emergency Department - Two (2) years of hospital or ambulatory coding experience required.
- Interventional Radiology - Two (2) years of hospital or ambulatory coding experience required.
- Ancillary/Recurring - One (1) year of hospital or ambulatory coding experience preferred.
- Experience coding in a level 1 trauma facility/academic teaching facility preferred.
- Effective oral and written communication skills.
- Strong knowledge of ICD-10-CM and/or CPT.
- Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.
- Proficient 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.
Principal Accountabilities
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.
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-CM, modifiers, and HCPCS codes to outpatient records.
Responsible in maintaining 95% or greater ICD-10-CM and/or HCPCS coding 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.
About Memorial Hermann Health System
Texas-based non-profit health system providing comprehensive care services.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Memorial Hermann Health System
Manager, Value-Based Care Analytics
Houston, USA
Memorial Hermann is seeking an analytics leader to manage business intelligence and analytics strategy and a team of analysts. The role oversees analytic requests and solutions, advises leaders with data-driven insights,
Senior Certified Inpatient Coding Specialist (Remote)
, USA
Clinical Documentation Integrity Specialist (Remote)
, USA
Manager, Value-Based Care Analytics
Houston, USA
Senior Certified Inpatient Coding Specialist (Remote)
, USA
Patient Business Services Coordinator (Remote)
, USA
Clinical Documentation Integrity Specialist (Remote)
, USA
Certified Inpatient Medical Coding Specialist (Remote)
, USA