Job Summary Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding Manager
Job Description
Minimum Qualifications
Education : High School Diploma or GED required, Associate Degree in medical area, preferred
Licenses/Certifications : One of the following licenses is required:
Certified Coding Specialist (CCS), or
Certified Professional Coder (CPC), or
Registered Heath Information Technician (RHIT), or
Certified Medical Coder (CMC)
Certified Coding Associate (CCA)
Experience / Knowledge / Skills:
Two (2) years outpatient Neurosurgery (preferred), Required 2 Years outpatient E/M coding experience required, six (6) months of HCC experience preferred
Ability to code Neurology for physicians
Effective oral and written communication skills.
EPIC Experience Preferred
Principal Accountabilities
Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters.
Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4 and modifiers.
Reviews documentation to extract and enter data accurately for other abstracting fields.
Follow coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
Ability to communicate with providers, leadership and clinical staff; Query and provide guidance on documentation/coding
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Time Type
Full time
Work Shift
Day (United States of America)