health information administrator

Houston Methodist

<div>At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
<div>FLSA STATUS 
Non-exempt 
 
QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required<ul><li>
Must have one of the following: &bull;RHIT - Certified Health Information Technician (AHIMA) &bull;RHIA - Registered Health Information Administrator (AHIMA) &bull;CCS - Certified Coding Specialist (AHIMA) &bull;CCA &ndash; Certified Coding Associate (AHIMA) &bull;CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull;CPC &ndash; Certified Professional Coder (AAPC)
</li></ul> 
SKILLS AND ABILITIES<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
</li><li>Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
</li><li>Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
</li><li>Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
</li><li>Knowledge of an electronic medical record and imaging systems
</li><li>Working knowledge of medical terminology, anatomy and physiology
</li><li>Proficiency with electronic encoder application
</li>Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems 
<li>
</li></ul> 
 
ESSENTIAL FUNCTIONS 
 
PEOPLE ESSENTIAL FUNCTIONS<ul><li>
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
</li><li>Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
</li></ul> 
SERVICE ESSENTIAL FUNCTIONS<ul><li>
Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy.
</li><li>Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
</li></ul> 
QUALITY/SAFETY ESSENTIAL FUNCTIONS<ul><li>
Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
</li><li>Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
</li><li>Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
</li><li>Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy.
</li><li>Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
</li></ul> 
FINANCE ESSENTIAL FUNCTIONS<ul><li>
Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding.
</li><li>Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
</li><li>Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
</li></ul> 
GROWTH/INNOVATION ESSENTIAL FUNCTIONS<ul><li>
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.
</li>Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. 
<li>
</li></ul> 
 
SUPPLEMENTAL REQUIREMENTS 
<ul>
WORK ATTIRE<li><ul><li>
Uniform: No
</li><li>Scrubs: No
</li><li>Business professional: Yes
</li><li>Other (department approved): No
</li></ul></li> 
ON-CALL* 
<li><ul><li>Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.</li></ul></li><li><ul><li>
On Call* No
</li></ul></li> 
TRAVEL** 
**Travel specifications may vary by department**<li><ul><li>
May require travel within the Houston Metropolitan area Yes
</li><li>May require travel outside Houston Metropolitan area Yes
</li></ul></li></ul></div>QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA) &bull; CCA &ndash; Certified Coding Associate (AHIMA) &bull; CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull; CPC &ndash; Certified Professional Coder (AAPC) 
<ul><li>
</li></ul> 
Company Profile:
Houston Methodist is one of the nation&rsquo;s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.</div>

Sr Outpatient Coder

<div>At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level.
<div>FLSA STATUS 
Non-exempt 
 
QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Five years of relevant outpatient coding experience
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required<ul><li>
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA)
</li></ul> 
SKILLS AND ABILITIES<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
</li><li>Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
</li><li>Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
</li><li>Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
</li><li>Knowledge of an electronic medical record and imaging systems
</li><li>Working knowledge of medical terminology, anatomy and physiology
</li><li>Proficiency with electronic encoder application
</li><li>Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems
</li><li>Strong interpersonal, teamwork, training, mentoring, and leadership skills
</li>Ability to adapt to multiple ongoing priorities with minimal supervision, including organizing workflow and actively participating in problem-solving 
<li>
</li></ul> 
 
ESSENTIAL FUNCTIONS 
 
PEOPLE ESSENTIAL FUNCTIONS<ul><li>
Promotes a positive work environment and leads the team to be dynamic and a focused work unit that actively helps one another to achieve optimal department results. Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
</li><li>Serves as preceptor, mentor, and resource to less experienced staff. Orients, guides, and mentors team members to help build confidence and competency in skills, knowledge, and abilities for various department tasks. Role models to team members effective communication skills, assisting in their development of such skills. Coordinates staff schedules, as appropriate, to provide daily staff coverage to promote/maintain smooth department operations.
</li><li>Role models healthy work relationships such as mitigation of conflict, leading problem-solving and resolution efforts. Recommends initiatives to improve department scores for employee engagement.
</li></ul> 
SERVICE ESSENTIAL FUNCTIONS<ul><li>
Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Serves as liaison between team members, management and physicians resolving routine matters, informing or escalating to management as needed.
</li><li>Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
</li></ul> 
QUALITY/SAFETY ESSENTIAL FUNCTIONS<ul><li>
Assigns diagnostic and procedural codes to encounters of high complexity. Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
</li><li>Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
</li><li>Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy.
</li><li>Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
</li><li>Conducts quality audits on processes, outcomes, and team member performance. Documents, develops, and evaluates processes and procedures. Identifies opportunities for corrective action and process improvement, collecting data and performing analyses. Follows up on action items to ensure completion of assignments, ensuring all deadlines are met. Assists with implementation and education of department-based initiatives, standards of practice and protocols. Contributes towards improving department quality scores.
</li></ul> 
FINANCE ESSENTIAL FUNCTIONS<ul><li>
Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding.
</li><li>Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts by maintaining coding timeframes within established departmental standards and ensuring all work items assigned to the coding queues are processed in a timely manner.
</li><li>Monitors staffing and recommends adjustment in staff work assignments and schedules to support fluctuations in work volumes and ensure efficient labor cost utilization; minimizes team incidental overtime. Reviews team member&rsquo;s timecards for accuracy and management approval as directed. Utilizes own time efficiently and helps other team members.
</li></ul> 
GROWTH/INNOVATION ESSENTIAL FUNCTIONS<ul><li>
Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve.
</li>Identifies innovative solutions for quality improvement and process improvement to make processes work better for the department. Fosters a positive and constructive teaching environment by engaging co-workers in learning opportunities that are valuable and in alignment with business objectives. 
<li>
</li></ul> 
 
SUPPLEMENTAL REQUIREMENTS 
<ul>
WORK ATTIRE<li><ul><li>
Uniform: No
</li><li>Scrubs: No
</li><li>Business professional: Yes
</li><li>Other (department approved): No
</li></ul></li> 
ON-CALL* 
<li><ul><li>Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.</li></ul></li><li><ul><li>
On Call* No
</li></ul></li> 
TRAVEL** 
**Travel specifications may vary by department**<li><ul><li>
May require travel within the Houston Metropolitan area Yes
</li><li>May require travel outside Houston Metropolitan area Yes
</li></ul></li></ul></div>QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Five years of relevant outpatient coding experience
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA) 
<ul><li>
</li></ul> 
Company Profile:
Houston Methodist is one of the nation&rsquo;s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.</div>

Lead Outpatient Coder

Reid Health

<div>
 7650 Revenue Cycle Management
 
 
 
 Schedule:
 
 Day Shift. 40 hours weekly. 7:00 am to 3:30 pm.
 
 
 
 About The Position
 
 
 
 This position has the responsibility for providing accurate, complete, and appropriate coding using ICD-10-CM/PCS and CPT classification systems for the Richmond and Connersville locations. Assigns appropriate APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record.
 
 
 
 Overview Of Responsibilities
 
 
 
 <ul>
 <li>
 Codes outpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems.
 </li>
 <li>
 Accurately performs data entry/abstraction on all patients into the applicable computer system.
 </li>
 <li>
 Calculates the proper APC assignment.
 </li>
 <li>
 Assists providers with appropriate diagnosis determination as needed.
 </li>
 <li>
 Keeps current with coding guidelines, rules and regulations and new codes.
 </li>
 <li>
 Refers coding and system questions to the Coding Manage, Supervisor, and/or Director in a timely manner.
 </li>
 <li>
 Works assigned edit work queues to determine correct coding and modifier assignments on a timely basis.
 </li>
 <li>
 Assists with abstraction and retrieval of data for special studies.
 </li>
 <li>
 Assists other departments with coding functions as needed.
 </li>
 <li>
 Codes encounters in accordance with all productivity and quality standards established by the organization.
 </li>
 <li>
 Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste, and abuse.
 </li>
 <li>
 Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations.
 </li>
 <li>
 Actively participates in area and department meetings.
 </li>
 <li>
 Attends other meetings as requested
 
 
 </li>
 </ul>
 This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.
 
 
 
 Education &amp; E
 
 
 xperience
 
 
 
 <ul>
 <li>
 Education Required: High School Diploma or GED.
 </li>
 <li>
 Experience Preferred: One (1) year previous same-day surgery/observation coding experience preferred.
 
 
 </li>
 </ul>
 
 Licensure And Certification
 
 
 
 <ul>
 <li>
 Certification as a Certified Coding Specialist (CCS), or
 </li>
 <li>
 Certification as a Certified Professional Coder (CPC), or
 </li>
 <li>
 Registered Health Information Technician (RHIT), or
 </li>
 <li>
 Registered Health Information Administrator or similar certification required and must be obtained within 6 months of hire
 </li>
 </ul>
</div>

Coder-Outpatient - 0714

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