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Lead Certified Outpatient Hospital/Facility Coding Specialist
Memorial Hermann Health System. Assign primary diagnosis and procedural codes for designated ambulatory and hospital outpatient settings .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM and HCPCS coding, ensuring compliance with regulatory standards and maintaining high coding accuracy. Provides mentorship and training to coding staff while effectively communicating with healthcare professionals regarding coding assignments.
Highest-signal resume keywords
ICD-10-CM CodingHCPCS CodingCoding Certification (RHIT, RHIA)Hospital Outpatient Coding ExperienceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM CodingHCPCS CodingCPT CodingCoding Compliance PoliciesMedical TerminologyHuman Anatomy KnowledgePhysiology KnowledgeSurgical TerminologyCoding AccuracyDecision-Making Skills
Soft Skills
Effective Communication SkillsCritical ThinkingGood Judgment
Tools & Technologies
Windows-Based Application Environment
Certifications & Qualifications
RHITRHIACoding Certification from AHIMA or AAPC
Industry Keywords
Ambulatory CodingHospital Outpatient CodingCoding GuidelinesRegulatory ComplianceAHIMA Standards of Ethical Coding
About the role
Key responsibilities & impact- Assign primary diagnosis and procedural codes for designated ambulatory and hospital outpatient settings
- Review medical records to identify diagnoses and procedures requiring code assignment
- Accurately code diagnoses and procedures using ICD-10 coding conventions for reimbursement, research, and regulatory compliance
- Review records for diagnostic and procedural specificity and appropriate hospital and professional reimbursement
- Query physicians when documentation is inadequate, ambiguous, unclear, or coding assignments are not straightforward
- Keep current with coding and reimbursement reporting guidelines and escalate concerns to the Coding Manager
- Assign ICD-10-CM, modifiers, and HCPCS codes to outpatient records
- Maintain 92% to 95% ICD-10-CM and/or HCPCS coding accuracy and established productivity standards
- Mentor and train newly hired Coders and provide ongoing Coding staff training
- Assist the Coding Manager with special coding assignments and unbilled issue resolution
- Serve as a resource for coding-related questions from Coding staff
- Follow AHIMA Standards of Ethical Coding and official coding guidelines
- Ensure adherence to Memorial Hermann policies, procedures, safety standards, productivity requirements, and quality-of-service expectations
- Support professional growth, department goals, and less experienced staff as a preceptor, mentor, and resource
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- Associates degree in Health Information Management or any Healthcare Related Field preferred
- RHIT, RHIA, or relevant coding certification(s) from AHIMA or AAPC required
- Six (6) years of hospital outpatient or ambulatory coding experience
- Experience coding in a level 1 trauma facility/academic teaching facility preferred
- Effective oral and written communication skills
- Strong knowledge of ICD-10-CM and/or CPT coding
- Analytical skills to interpret health record data and 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
- Proficiency navigating a Windows-based application environment
Benefits
Comp & perks- Mandatory/continuing education and skills competency support
- Professional growth and development opportunities
- Mentoring and preceptor opportunities
- Employee-focused culture emphasizing being cared for, heard and valued