Lead Certified Outpatient Hospital/Facility Coding Specialist

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 • Review medical records to identify diagnoses and procedures requiring code assignment • Accurately code diagnoses and procedures using ICD-10 coding conventions for reimbursement, research, and regulatory compliance • Review records for diagnostic and procedural specificity and appropriate hospital and professional 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 Coding Manager • Assign ICD-10-CM, modifiers, and HCPCS codes to outpatient records • Maintain 92% to 95% ICD-10-CM and/or HCPCS coding accuracy and established productivity standards • Mentor and train newly hired Coders and provide ongoing Coding staff training • Assist the Coding Manager with special coding assignments and unbilled issue resolution • Serve as a resource for coding-related questions from Coding staff • Follow AHIMA Standards of Ethical Coding and official coding guidelines • Ensure adherence to Memorial Hermann policies, procedures, safety standards, productivity requirements, and quality-of-service expectations • Support professional growth, department goals, and less experienced staff as a preceptor, mentor, and resource • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED required • Associates degree in Health Information Management or any Healthcare Related Field preferred • RHIT, RHIA, or relevant coding certification(s) from AHIMA or AAPC required • Six (6) years of hospital outpatient or ambulatory coding experience • 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 coding • Analytical skills to interpret health record data and assign appropriate codes • Strong 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 • Proficiency navigating a Windows-based application environment

🏖️ Benefits

• Mandatory/continuing education and skills competency support • Professional growth and development opportunities • Mentoring and preceptor opportunities • Employee-focused culture emphasizing being cared for, heard and valued