At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary
Responsible for primary diagnosis and procedural coding for designated ambulatory and hospital outpatient setting. Responsible for proficiently assigning proper and accurate medical codes for diagnosis, procedures, and services performed in an outpatient setting, such as, but not limited to emergency department, outpatient clinics, same day surgeries, or diagnostic testing (radiology and laboratory). Typically reports to the Coding Manager. Job Description

Minimum Qualifications

Education: High School Diploma or GED required; Associates degree in Health Information Management orany 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:

• Two (2) years of hospital outpatient and ambulatory coding experience
• Successful completion of an accredited coding training program may be substituted in lieu of experience
• Effective oral and written communication skill
• Strong knowledge of ICD-10-CM and/or CPT
• Analytical skills necessary to interpret data contained in the health records and to assign 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 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.

Principal 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-CM 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-CM, modifiers, and HCPCS codes to outpatient records.
• Responsible in maintaining 92% to 95% ICD-10-CM and/or HCPCS coding 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.