Outpatient CDI Specialist
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.
Job Summary: The Outpatient CDI Specialist will be responsible for facilitating accurate and timely clinical documentation through concurrent and retrospective reviews of the medical records, compliant physician queries and assignment of ICD-10-CM, CPT, and HCPCS codes. The Outpatient CDI Specialist will help identify outpatient clinical documentation opportunities to ensure the medical record is accurate, complete and compliant. In addition, the Outpatient CDI Specialist will educate physicians, non-physician clinicians, nursing, and other staff to improve documentation within the medical record and adhere to multiple quality-based programs such as DSRIP, MIPS, and the CMS Hospital Outpatient Quality Reporting Program.
HS Diploma or GED and Coding credentials required Coding Specific Certifications that include: COC/CPC and/or CCA/Certified Coding Specialist (CCS)/CCS-P
Bachelors Degree and RHIA
Associate Degree and RHIT
Licenses and Certifications: CCDS-O or CDEO credential must be achieved within two years of employment.
Work Experience: A minimum of one year Outpatient-based, ICD-10 coding experience
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (Public Speaking)
Proficiencies: MS Word, MS Excel, P.C.
Knowledge/ Skills/ Abilities: Analytical Mathematics, Medical Terms, Research, Statistical
Work Schedule: Overtime
Equipment Operated: 3M with EPIC electronic medical record billing system and standard office equipment.
a. Detailed Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-10-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes.
b. Detailed knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.
c. Detailed knowledge of classification systems, ICD-10-CM nomenclature, CPT-4, and HCPCS coding rules, guidelines and proper sequencing.
d. Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards.
e. Knowledge of ethical coding principles and revenue cycle activities.
f. 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 compliance program activities.
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.
Clerical and Administrative Support