Coding & Reimbursement Revenue Analyst- INP
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
This position is responsible for developing, implementing and maintaining a monitoring program for hospital inpatient coding and reimbursement methodologies. The person in this position is responsible for development of standards, policies, and procedures as well as education and training needs regarding elements of the inpatient facility coding and payment methodologies. This includes providing relevant documentation and accurate coding information and federal regulations to all appropriate personnel, including coding staff, physicians, billing personnel and ancillary departments.
Degrees / Work Experience / School Education:
Associates or Bachelors degree in a related science field (examples: HIM, HIS, health sciences) and Ten (10) Years Work Experience coding in a large acute care hospital setting. Must have a strong background in ICD-10-CM Classification systems, knowledge of anatomy and physiology, clinical medical understanding and medical terminology, along with excellent working and current knowledge of federal MS-DRG and the All-Payer DRG reimbursement methodology. Work experience must include at least 3 years auditing hospital inpatient coding and billing.
High School Diploma or GED (And) Fourteen (14) Years Work Experience coding inpatient admissions in a large acute care hospital setting. Must have a strong background in ICD-10-CM Classification systems, knowledge of anatomy and physiology, clinical medical understanding and medical terminology, along with excellent working and current knowledge of federal MS-DRG and the All-Payer DRG reimbursement methodology. Work experience must include minimum 3 years auditing hospital inpatient coding and billing.
Licenses & Certifications
LicenseOther License/Cert RequirementPreferred
Certified Coding Specialist from AHIMAMinimum requirement
Certified Clinical Documentation Specialist (or) Certified Documentation Improvement Practitioner from AHIMAnot required, but a plus
Communication Skills: Exceptional Verbal (Public Speaking)
Proficiencies: MS Excel, MS Word, Personal Computer
Work Schedule: Eligible for Telecommute
Benefits and EEOC
Harris Health System benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.