Senior Coder
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.
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, and performs outpatient coding as required. 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.
Minimum Qualifications
School Education:
High School Diploma (or ) GED
Licenses & Certifications:
Certified Coding Specialist (CCS) credential required
Reg Health Information Admin; RHIA/RHIT credential preferred
Work Experience:
Seven (7) Years Work Experience of total coding experience and training with Inpatient and outpatient coding accounts in Trauma Level 1 teaching facility. Coding accounts for Inpatient, Observation, Day Surgery, Specialty Clinics, Emergency Department, Ancillary
Communication Skills: Writing/Correspondence, Writing/Reports
Job Attributes
Knowledge/Skills/Abilities: Analytical, Medical Terminology, Other; Anatomy and Physiology, Inpatient and Outpatient Coding Claim Edit Processing
Work Schedule: Flexible, Holidays, Eligible for Telecommute
Other Requirements:
-Knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.
-Knowledge of classification systems, 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-10-CM, ICD-10-CM, and ICD-10-PCS, CPT-4 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,
Skilled in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding.