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. 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.
Education/Specialized Training/Licensure: High school diploma or GED. Certified Coding Specialist (CCS) credential required. RHIA/RHIT credential preferred
Work Experience (Years and Area): 5 years minimum of total coding experience with at least 3 years minimum of Inpatient coding experience. Inpatient Coding in Trauma Level 1 teaching facility preferred
Equipment Operated:3M encoder interfaced with EPIC electronic medical record billing system
Communication Skills: Writing /Composing: Correspondence, Reports
Other Skills: Analytical, Medical Terms, P.C., Anatomy and Physiology
Work Schedule: Weekends, Holidays, Flexible, Eligible for Telecommute
Other Requirements: Knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology Knowledge of classification systems, ICD-9-CM, 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-9-CM, ICD-10-CM, AND ICD-10-PCS 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 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
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.