Job Description

 

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Skills / Requirements

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.

Minimum Qualifications

Degrees:
HS Diploma or GED and Coding credentials required Coding Specific Certifications that include: COC/CPC and/or CCA/Certified Coding Specialist (CCS)/CCS-P
or
Bachelors Degree and RHIA
or
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

Communication Skills:
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (Public Speaking)
Writing/ Correspondence
Writing/ Reports

Proficiencies: MS Word, MS Excel, P.C.

Job Attributes

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.

Other Requirements:
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.

Application Instructions

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