Senior Certified Inpatient Medical Coding Specialist

System Services SSBW, Houston, Texas
Sep 07, 2017
Oct 07, 2017
Contract Type
Full Time
Senior Certified Inpatient Medical Coding SpecialistSystem Services SSBW

Job Description
Under general supervision the Senior Certified Inpatient Medical Coding Specialist is responsible in reviewing and abstracting inpatient medical records identifying and assigning accurate medical codes for diagnosis, procedures and services in an inpatient setting. Coding Specialist ensures that all data elements required for federal or state reporting and billing are collected and included in the patient's demographic record.

  • Education:  High School Diploma or GED required.  Associates degree in Health Information Management or any Healthcare Related Field preferred.

    Licenses/Certifications:  Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required.

    Experience / Knowledge / Skills:
  • Four (4) years of hospital inpatient experience. 
  • Effective oral and written communication skills.
  • Strong knowledge of ICD-10-CM and PCS coding.
  • Analytical skills necessary to interpret data contained in the health records and to 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 affecting the coding process.
  • Proficient in navigating a Windows-based application environment.
  • Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring One Memorial Hermann.

Principle Accountabilities:
  • Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
  • Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges.
  • Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
  • Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution.
  • Effectively assigns ICD-10 codes and DRGs to inpatient records.
  • Responsible in maintaining 92% to 95% in ICD-10 and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum.
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
  • 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.
  • Other duties as assigned.

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