Medical Billing and Coding

• 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

Explore Lead Certified Outpatient Hospital/Facility Coding Specialist at Memorial Hermann Health System. Review requirements and application details.