JOB SUMMARY

At Houston Methodist, the Coding Apprentice position is responsible for obtaining the educational material, knowledge and experience needed to be competent to assign accurate diagnostic and procedure codes in an outpatient and/or inpatient setting based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. The apprentice must demonstrate progressive ability and knowledge of coding and applicable guidelines in accordance with the program curriculum.

Requirements:

PRIMARY JOB RESPONSIBILITIES

Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 20%

* Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. (EF)
* 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. (EF)

SERVICE - 20%

* Actively participates in training activity geared towards achieving competency in the assignment of accurate diagnostic and procedure codes in an outpatient and/or inpatient setting. (EF)
* Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. (EF)

QUALITY/SAFETY - 30%

* Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS and HCPCS/CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. (EF)
* 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. (EF)
* Reviews medical record documentation and abstracts data into the encoder and 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. (EF)
* Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.

FINANCE - 20%

* Utilizes time and resources effectively throughout the education program. (EF)
* Ensures all work assignments are completed on time to keep pace with the education program syllabus. (EF)

GROWTH/INNOVATION - 10%

* Continuously progresses in basic knowledge and skills necessary to communicate appropriately and carry out delegated tasks. (EF)
* Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications:

EDUCATION REQUIREMENTS

o Associate's degree or higher in a Commission on Accreditation for Health Informatics and Information Management (CAHIIM) accredited program

EXPERIENCE REQUIREMENTS

o None

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

o Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) by AHIMA required within one year of entry into the apprentice role

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

o Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

o 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

o 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

o Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance

o Working knowledge of medical terminology, anatomy and physiology

o Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems

o Knowledge of an electronic medical record and imaging systems preferred

o Proficiency with electronic encoder application preferred

SUPPLEMENTAL REQUIREMENTS

Work Attire Yes/No

Uniform No

Scrubs No

Business professional Yes

Other (dept approved) No

On-Call* No

* Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc) regardless of selection above.

Travel

May require travel within Yes

Houston Metropolitan area

May require travel outside Yes

of Houston Metropolitan area

Travel specifications may vary by department.

Please note any other special considerations to this job: __________________________

Company Profile:

Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.