Inpatient Coder III (Level1)
At Harris Health System, we champion better health for our patients, their families and our community, by connecting them to an integrated healthcare system that provides high-quality healthcare. Harris Health focuses on the delivery of primary care, wellness and prevention services to the residents of Harris County, Texas, through its extensive network of inpatient and outpatient facilities. Harris Health is a proud recipient of the prestigious National Committee for Quality Assurance designation for its patient-centered medical homes. Harris Health's medical faculty and residents are provided by its nationally recognized medical school partners: Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.
Skills / Requirements
JOB SUMMARY: Under limited supervision, reviews medical records and performs coding on all diagnoses and procedures (both medical and surgical) according to applicable coding guidelines. Assigns and verifies the correct diagnostic related grouping (DRG/MS-DRG) for all inpatient-designated account types. Applies the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. Maintains the confidentiality of patient records and procedures.
Education/Specialized Training/Licensure: High school diploma or GED. Certified Coding Specialist (CCS) credential required. RHIA/RHIT credential preferred
Work Experience (Years and Area): 5 years minimum of total coding experience with at least 3 years minimum of Inpatient coding experience. Inpatient Coding in Trauma Level 1 teaching facility preferred
Equipment Operated: 3M encoder interfaced with EPIC electronic medical record billing system
Communication Skills: Writing /Composing: Correspondence, Reports
Other Skills: Analytical, Medical Terms, P.C., Anatomy and Physiology
Work Schedule: Weekends, Holidays, Flexible, Eligible for Telecommute
Knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Knowledge of classification systems, ICD-9-CM, ICD-10-CM, AND ICD-10-PCS nomenclature, CPT-4 and HCPCS nomenclature, coding rules, guidelines, and proper sequencing
Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), and the ICD-9-CM, ICD-10-CM, AND ICD-10-PCS Official Coding Guidelines for assignment of diagnostic and procedure codes
Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards affecting medical records and their impact on reimbursement
Knowledge of ethical coding principles and revenue cycle activities
Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding