Medical Records Coder III Job at University of Rochester (Rochester)

Medical Records Coder III, Complex

Location

United States , Rochester

Salary:

23.06 - 32.29 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of experience as a medical coder required
Or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required

Job Responsibility

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies
Analyzes, enters and manipulates database
Responds to or clarifies internal requests for medical information
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution

Fulltime

Medical Records Coder III, Complex

The Medical Coder III functions as an advanced coder in the abstraction and in-d...

Location

United States of America , Rochester - NY; Remote Work - New York, Albany

Salary:

23.06 - 32.29 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

HS Diploma required
2 years’ experience as Medical Coder required
Knowledge of ICD-10CM, CPT and HCPSC
Working knowledge of medical terminology and anatomy

Job Responsibility

Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Abstracts data and reviews codes for accuracy
Responds to coding information requests from various sources
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete

Fulltime

Med Records Coder III

The Med Records Coder III functions as an advanced coder in the abstraction and ...

Location

United States of America , Rochester

Salary:

21.36 - 29.90 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

HS Diploma Required
1 years’ experience as Medical Coder Required
Knowledge of ICD-10CM, CPT and HCPSC Required
Working knowledge of medical terminology and anatomy Required
Associates degree in Health Information Technology or health related field Preferred
Additional coding experience in area of assignment Preferred
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) Preferred
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute Preferred

Job Responsibility

Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete

Fulltime

Med Records Coder III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

21.36 - 29.90 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 1-year Medical Coder experience required
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required

Job Responsibility

Reviews codes for accuracy in accordance with coding rules and policies
Responsible for system edit reviews and follows up on insurance coding denials for resolution
Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow
Completes system edit reviews to make corrections before transmittal
Troubleshoots problems that prevent claims from being released
Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem
Provides feedback for correction and follow-up
May abstract data and review codes for accuracy
Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation
Responds to coding information requests and inquiries from various sources

Fulltime

Med Records Coder III, Complex

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Albany

Salary:

23.06 - 32.29 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of experience as a medical coder required
Associate's degree preferred
Or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required

Job Responsibility

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies
Analyzes, enters and manipulates database
Responds to or clarifies internal requests for medical information
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution

Fulltime

Med Records Coder III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Albany

Salary:

21.36 - 29.90 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

HS Diploma
Associates degree in Health Information Technology or health related field (preferred)
1 years’ experience as Medical Coder
Additional coding experience in area of assignment (preferred)
or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) (preferred)
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute (preferred)

Job Responsibility

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG)
Analyzes, enters and manipulates database
Responds to or clarifies internal requests for medical information
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution

Fulltime

Hospital Based Inpatient Coder III

Utilizing an electronic medical record and computerized encoder, assigns and seq...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)
Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate action

Job Responsibility

Assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures
Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements
Formulates physician queries for validation of pathological findings
Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up
Seeks clarification from providers or other designated resources to ensure accurate and complete coding
Attends educational meetings and seminars to maintain certification and continuing education requirements
Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed
Reviews accounts and performs needed correction for internal audits and external denials
Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines
Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment

Fulltime

Facility Coder III - Surgical Specialties

This role will have all responsibilities of coding assistant, coder I and II plu...

Location

United States , Charlotte

Salary:

28.55 - 42.85 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows.
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
Proficient in Microsoft Office, Word, Excel, and PowerPoint.
Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology) and is able to apply these sciences to accurately assign codes to cases to include surgical cases.
Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions.
Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder.
Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC).
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.

Job Responsibility

Assist with special projects as requested
assists with training other coders as requested
Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

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Medical Records Coder III

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