Harris Health.
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Houston, TX
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Long-term. -
Full-time.
At Harris Health System, we promote much better health for our clients, their households and our neighborhood, by linking them to an incorporated health care system that supplies top quality health care. Harris Health concentrates on the shipment of medical care, health and avoidance services to the locals of Harris County, Texas, through its comprehensive network of inpatient and outpatient centers. Harris Health is a happy recipient of the prominent National Committee for Quality Assurance classification for its patient-centered medical houses. Harris Health’s medical professors and citizens are offered by its nationally acknowledged medical school partners: Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer.
Skills/ Requirements
JOB SUMMARY: Responsible for carrying out extensive evaluations of both internally and externally coded outpatient medical records/accounts to figure out the efficiency and precision of ICD-9-CM diagnostic coding and sequencing, CPT-4 and HCPCS procedural coding project, and suitable modifier appendage in order to guarantee that designated codes are supported by corresponding scientific paperwork and suitable compensation is acquired. Decisions concerning the timeliness and suitability of claim edit reactions will likewise by kept an eye on, resolved, and reported. Accountable for supplying continuous education to coders, doctors, and other personnel while likewise serving in an advisory function for coding and regulative compliance.
MINIMUM QUALIFICATIONS:
1. Education/Specialized Training/Licensure: CCS/CCS-P and/or CPC/CPC-H credential needed
RHIA/RHIT credential chosen
2. Work Experience (Years and Area): 5 years outpatient coding experience needed
2 year( s) outpatient auditing experience chosen
3. Management Experience (Years and Area): None needed
4. Devices Operated: 3M encoder interfaced with EPIC electronic medical record billing system
SPECIAL REQUIREMENTS:
1. Interaction Skills:
Above Average Verbal (Heavy Public Contact)
Exceptional Verbal (e.g., Public Speaking)
Bilingual Skills Required: No
Writing/ Composing (Correspondence/ Reports)
2. Other Skills:
Analytical, Mathematics-Basic, Medical Terms, Statistical-Basic,
P.C., MS Word-Basic, MS Excel-Basic
3. Work Schedule: Weekends, Holidays, Flexible, Eligible for Telecommute
4. Other Requirements: Detailed understanding of coding conventions and guidelines developed by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-9-CM Official Coding Guidelines, AHIMA, and AAPC for task of diagnostic and procedural codes
Detailed understanding of medical terms, abbreviations, anatomy and physiology, significant illness procedures, and pharmacology
Detailed understanding of category systems, ICD-9-CM classification, CPT-4, and HCPCS classification, coding guidelines, standards, and correct sequencing
Knowledge of JCAHO, Privacy Act of 1974, and HIPAA requirements
Knowledge of ethical coding concepts and profits cycle activities
Skill in translating and using ethical coding requirements, comprehending federal and state laws and guidelines, and following expert practice requirements for healthcare company coding compliance program activities
Application Instructions
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Harris Health.
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