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Lead Certified Outpatient Hospital/Facility Coding Specialist
Memorial Hermann Health SystemLead outpatient coding specialist assigning ICD-10-CM, CPT, and HCPCS codes for Memorial Hermann’s hospital and ambulatory healthcare services. Mentoring coders and supporting compliance, reimbursement, and quality.
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 while maintaining high accuracy rates. Provides mentorship and training to coding staff, fostering a collaborative and efficient coding environment.
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 PoliciesHealth-Record Data InterpretationHuman Anatomy KnowledgeMedical TerminologySurgical TerminologyDecision-Making SkillsProductivity Standards
Soft Skills
Effective Communication SkillsCritical ThinkingGood Judgment
Tools & Technologies
Windows-Based Application Environment
Certifications & Qualifications
RHITRHIACoding Certification from AHIMA or AAPC
Industry Keywords
Outpatient Medical Record DocumentationReimbursementRegulatory ComplianceCoding GuidelinesMentorshipEthical Coding Standards
About the role
Key responsibilities & impact- Review outpatient medical record documentation to identify diagnoses and procedures requiring code assignment
- Accurately assign ICD-10-CM, modifiers, and HCPCS codes for reimbursement, research, and regulatory compliance
- Review records for diagnosis and procedure specificity and appropriate reimbursement
- Query physicians when documentation is inadequate, ambiguous, unclear, or coding assignments are not straightforward
- Monitor coding and reimbursement reporting guidelines and escalate concerns to the manager
- Maintain 92%–95% ICD-10-CM and/or HCPCS coding accuracy while meeting productivity standards and minimizing abstracting errors
- 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
- Follow AHIMA Standards of Ethical Coding and official coding guidelines
- Ensure safe care and comply with Memorial Hermann policies, procedures, and standards
- Support department goals and serve as a preceptor, mentor, and resource to less experienced staff
- Model Memorial Hermann service standards and provide safe, caring, personalized, and efficient experiences
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- Associate 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 coding 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
- Mentorship and preceptor opportunities
- Compassionate and personalized experiences for employees
- Safe, caring, personalized and efficient workplace experiences