Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.

Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its two hospitals: Ben Taub and LBJ.

Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Associations Hospitals & Health Networks magazine.

Additionally, Harris Health System is pleased that each of its hospitals Ben Taub and Lyndon B. Johnson achieved Pathway to Excellence designation by the American Nurses Credentialing Center.

JOB SUMMARY: Conducts outpatient coding reviews to ensure accurate reimbursement and compliant coding practices. Coordinates coding educational in-service programs focused on specific compliance-related topics identified in coding reviews and monitors the effectiveness of provided/coder-based training. Utilizes a variety of measurement methods to obtain, analyze, and interpret coding, denial, claim edit, and other reimbursement data to refine and support compliant coding practices within the Coding Department. Maintains the confidentiality of patient records and procedures.

MINIMUM QUALIFICATIONS:

Education/Specialized Training/Licensure: CCS/CCS-P or CPC/CPC-H credential required or LVN certification required, RHIA/RHIT credentials preferred

Work Experience (Years and Area): Five (5) years of outpatient-based hospital coding and/or charge capture experience or equivalent clinical experience

Equipment Operated:3M encoder interfaced with EPIC electronic medical record billing system


SPECIAL REQUIREMENTS:

Communication Skills: Above Average Verbal (Heavy Public Contact), Exceptional Verbal (e.g., Public Speaking),Writing /Composing: Correspondence, Reports

Other Skills: Analytical, Medical Terms, P.C., Research

Work Schedule: Flexible, Eligible for Telecommute

Other Requirements:
Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-10-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes
Detailed knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Detailed knowledge of classification systems, ICD-10-CM nomenclature, CPT-4, and HCPCS nomenclature, coding rules, guidelines, and proper sequencing
Knowledge of DNV, Privacy Act of 1974, and HIPAA standards
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 compliance program activities