Houston Methodist is seeking an Inpatient Coder to accurately assign diagnostic and procedure codes for inpatient encounters based on documentation in the electronic medical record. The role ensures compliance with hospital policy, official coding guidelines, and regulatory requirements.
Key responsibilities include:
- Reviewing medical record documentation to determine principal and secondary diagnoses, procedures, co-morbid conditions, and complications
- Assigning accurate ICD-10-CM and ICD-10-PCS codes using an electronic encoder
- Abstracting data into the encoder and EPIC/EHR systems
- Querying physicians to clarify diagnoses and procedures when needed
- Maintaining coding quality, productivity, and turnaround time standards
- Supporting accounts receivable goals related to uncoded accounts
- Participating in coding meetings, education, and quality improvement efforts
Requirements & Qualifications
Education
- Associate’s degree or higher in a CAHIIM-accredited program, or an additional two years of qualifying experience in lieu of degree
Experience
- At least 1 year of relevant inpatient coding experience, or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
Certifications
- RHIT (AHIMA)
- RHIA (AHIMA)
- CCS (AHIMA)
Skills and knowledge
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines, and coding compliance
- Working knowledge of medical terminology, anatomy, and physiology
- Proficiency with electronic encoder applications preferred
- Experience with electronic medical records and abstracting systems preferred
- Strong computer skills and ability to work in office, coding, and abstracting software
- Effective communication skills with patients, physicians, family members, and coworkers
Location
Nashville, Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago
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