Certified Outpatient Hospital/Facility Coding Specialist

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 Description

• Assign primary diagnosis and procedural codes for designated ambulatory and hospital outpatient settings • Code diagnoses, procedures, and services for emergency departments, outpatient clinics, same-day surgeries, diagnostic testing, radiology, and laboratory services • Review medical-record documentation to identify pertinent diagnoses and procedures requiring code assignment • Accurately assign ICD-10-CM, modifiers, and HCPCS codes for reimbursement, research, and regulatory compliance • Review records for diagnosis and procedure specificity and appropriate hospital and professional-charge reimbursement • Query physicians when documentation is inadequate, ambiguous, unclear, or coding assignments are not straightforward • Keep current with coding and reimbursement reporting guidelines and escalate concerns to the manager • Maintain at least 95% ICD-10-CM and/or HCPCS coding accuracy while meeting productivity standards • Ensure compliance with AHIMA ethical coding standards and official coding guidelines • Follow Memorial Hermann policies, procedures, safety standards, budgetary specifications, and quality-of-service expectations • Complete mandatory and continuing education and maintain skills competency • Support department-based goals and serve as a preceptor, mentor, and resource to less experienced staff • Provide safe, caring, personalized, and efficient experiences to patients and colleagues • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED required • RHIT, RHIA, or relevant coding certification(s) from AHIMA or AAPC required • Three years of hospital or ambulatory coding experience required for Surgery/Observation • Two years of hospital or ambulatory coding experience required for Emergency Department • Two years of hospital or ambulatory coding experience required for Interventional Radiology • One year of hospital or ambulatory coding experience preferred for Ancillary/Recurring • Experience coding in a level 1 trauma facility/academic teaching facility preferred • Effective oral and written communication skills • Strong knowledge of ICD-10-CM and/or CPT • Analytical skills for interpreting health-record data and assigning appropriate codes • Proficient knowledge of human anatomy, physiology, medical terminology, and surgical terminology • Critical thinking, good judgment, and decision-making skills • Knowledge of coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures • Proficient in navigating a Windows-based application environment • Must maintain 95% or greater ICD-10-CM and/or HCPCS coding accuracy • Must consistently meet established productivity standards • Must adhere to AHIMA Standards of Ethical Coding and official coding guidelines

🏖️ Benefits

• Full-time employment • Mandatory and continuing education opportunities • Professional growth and development • Skills competency development • Preceptor, mentor, and resource opportunities