Coder II - Certified

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

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 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

• Registered Health Information Administrator (RHIA), or

• Certified Medical Coder (CMC)

• Certified Coding Associate (CCA)

Experience / Knowledge / Skills:

• Two (2) years outpatient coding experience required, six (6) months of  HCC experience preferred

• Ability to code multi-specialties for physicians including E&M Levels

• Effective oral and written communication skills.

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, E&M Levels 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.

• 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.