Inpatient Coder
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Remove boilerplate like EEO, etc. Must preserve all substantive info.
Let's parse the posting:
- Intro: "Come lead with us at Corporate At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines."
That's about the role.
- FLSA STATUS Non-exempt (metadata, maybe minor, can be short p)
- QUALIFICATIONS EDUCATION: Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
- EXPERIENCE: One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
- LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA)
- SKILLS AND ABILITIES: list of many bullet-like sentences.
- ESSENTIAL FUNCTIONS broken into categories: PEOPLE, SERVICE, QUALITY/SAFETY, FINANCE, GROWTH/INNOVATION. Those are responsibilities.
- SUPPLEMENTAL REQUIREMENTS: WORK ATTIRE, ON-CALL, TRAVEL.
- Repeated LICENSES AND CERTIFICATIONS line again.
- EEO boilerplate to remove.
We need sections: About the role (intro), Responsibilities (essential functions), Requirements (maybe experience, education?), Qualifications (education?), Skills (skills and abilities), Benefits (none?), Pay (none?), Schedule (none?).
We must only include sections with real specific content. Benefits, Pay, Schedule not present, so omit those sections.
We need to decide which headings to use: About the role, Responsibilities, Requirements, Qualifications, Skills. Possibly also "Supplemental Requirements" could go under Requirements or Qualifications? But we have headings limited to those given. We can map:
- About the role: intro paragraph.
- Responsibilities: essential functions categories (people, service, quality/safety, finance, growth/innovation). Could be a list.
- Requirements: maybe experience, licenses/certifications, work attire, on-call, travel? Or we could put experience under Requirements, education under Qualifications, licenses under Qualifications? Actually Qualifications heading is for qualifications like education, certifications. Requirements could be experience, etc. But we need to avoid duplication.
Let's decide:
- Qualifications: Education (Associate’s degree or higher...), Licenses and certifications (RHIT/RHIA/CCS). Could also include "FLSA STATUS Non-exempt" as minor metadata maybe in a p.
- Requirements: Experience (One year relevant inpatient coding experience or completion of apprentice program). Also maybe supplemental requirements (work attire, on-call, travel) could be under Requirements.
- Skills: Skills and Abilities list.
- Responsibilities: Essential Functions categories.
We must not repeat job title. Use for each section heading.
We need to use - for any list of duties/requirements/benefits. For prose, use
.
We need to preserve all substantive information; do not invent or summarize away detail. Must not include boilerplate like EEO, etc.
We need to remove duplicated lines (licenses line appears twice). Keep only once.
We need to preserve details like "FLSA STATUS Non-exempt". Could be a short p.
We need to preserve "WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No". That's a requirement.
ON-CALL note: employees may be required to be on-call during emergencies regardless of selection below. On Call* No.
TRAVEL: May require travel within the Houston Metropolitan area Yes; May require travel outside Houston Metropolitan area Yes.
We need to include those.
Now, let's craft HTML.
Structure:
About the role
Come lead with us at Corporate At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
Responsibilities
- People Essential Functions: Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
- Service Essential Functions: Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
- Quality/Safety Essential Functions: Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
- Finance Essential Functions: Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts. Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
- Growth/Innovation Essential Functions: Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.
Requirements
- Experience: One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program.
- Work Attire: Uniform: No; Scrubs: No; Business professional: Yes; Other (department approved): No.
- On‑Call: Employees may be required to be on‑call during emergencies (e.g., disaster, severe weather events) regardless of selection below. On Call: No.
- Travel: May require travel within the Houston Metropolitan area: Yes; May require travel outside Houston Metropolitan area: Yes.
Qualifications
- Education: Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree.
- Licenses and Certifications: Must have one of the following: RHIT - Certified Health Information Technician (AHIMA); RHIA - Registered Health Information Administrator (AHIMA); CCS - Certified Coding Specialist (AHIMA).
- FLSA Status: Non‑exempt.
Skills
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
- Ability to effectively communicate with patients, physicians, family members and co‑workers in a manner consistent with a customer service focus and application of positive language principles.
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance.
- Knowledge of an electronic medical record and imaging systems preferred.
- Working knowledge of medical terminology, anatomy and physiology.
- Proficiency with electronic encoder application preferred.
- Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems.
We must not include Benefits, Pay, Schedule sections.
Check that we didn't repeat any info unnecessarily. We included FLSA status under Qualifications as a list item; could also be a short p but list is fine.
We need to ensure we didn't include any boilerplate like EEO. We removed.
Check for duplicated content: Licenses line appears only once.
Check for any missing substantive info: The intro sentence about "Come lead with us at Corporate At Houston Methodist..." we kept.
Check for "FLSA STATUS Non-exempt" we included.
Check for "Required Must have one of the following: RHIT..." we included.
Check for "SUPPLEMENTAL REQUIREMENTS WORK ATTIRE..." we included.
Check for "ON-CALL* Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.On Call* No" we included.
Check for "TRAVEL** Travel specifications may vary by department**May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area Yes" we included.
Check for "Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA)" appears twice in original; we included once.
Check for "SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance Knowledge of an electronic medical record and imaging systems preferred Working knowledge of medical terminology, anatomy and physiology Proficiency with electronic encoder application preferred Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems" we included as list items.
Check for "ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders." we included under People Essential Functions.
Check for "SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process." included.
Check for "QUALITY/SAFETY ESSENTIAL FUNCTIONS Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality
- for any list of duties/requirements/benefits. For prose, use
. We need to preserve all substantive information; do not invent or summarize away detail. Must not include boilerplate like EEO, etc. We need to remove duplicated lines (licenses line appears twice). Keep only once. We need to preserve details like "FLSA STATUS Non-exempt". Could be a short p. We need to preserve "WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No". That's a requirement. ON-CALL note: employees may be required to be on-call during emergencies regardless of selection below. On Call* No. TRAVEL: May require travel within the Houston Metropolitan area Yes; May require travel outside Houston Metropolitan area Yes. We need to include those. Now, let's craft HTML. Structure:
About the role
Come lead with us at Corporate At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
Responsibilities
- People Essential Functions: Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
- Service Essential Functions: Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
- Quality/Safety Essential Functions: Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
- Finance Essential Functions: Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts. Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
- Growth/Innovation Essential Functions: Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.
Requirements
- Experience: One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program.
- Work Attire: Uniform: No; Scrubs: No; Business professional: Yes; Other (department approved): No.
- On‑Call: Employees may be required to be on‑call during emergencies (e.g., disaster, severe weather events) regardless of selection below. On Call: No.
- Travel: May require travel within the Houston Metropolitan area: Yes; May require travel outside Houston Metropolitan area: Yes.
Qualifications
- Education: Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree.
- Licenses and Certifications: Must have one of the following: RHIT - Certified Health Information Technician (AHIMA); RHIA - Registered Health Information Administrator (AHIMA); CCS - Certified Coding Specialist (AHIMA).
- FLSA Status: Non‑exempt.
Skills
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
- Ability to effectively communicate with patients, physicians, family members and co‑workers in a manner consistent with a customer service focus and application of positive language principles.
- Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance.
- Knowledge of an electronic medical record and imaging systems preferred.
- Working knowledge of medical terminology, anatomy and physiology.
- Proficiency with electronic encoder application preferred.
- Extensive PC knowledge – must be able to work effectively in common office software, coding software and abstracting systems.