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

New

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

New

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

New

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

New

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

New

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

Payment Integrity Nurse Coder RN III

The Payment Integrity Nurse Coder RN III is responsible for investigating, revie...

Location

United States , Los Angeles

Salary:

102183.00 - 163492.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 8 years of clinical RN experience
At least 3 years of experience in utilization management or clinical coding
Investigation and/or auditing experience
Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations
Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines
Working knowledge of claims coding and medical terminology
Solid understanding of standard claims processing systems and claims data analysis
Strong project leadership and management skills required
ability to prioritize, plan, and handle multiple tasks/demands simultaneously

Job Responsibility

Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects
Serving as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements
Providing guidance related to Payment Integrity initiatives to include concept and cost avoidance development
Training and mentoring Payment Integrity Nurse Coder, RN staff
Acting as a Subject Matter Expert, serving as a resource and mentor for other staff
Performing Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements
Serving cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects
Serving as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance
Identifying trends and patterns with overall program and individual provider coding practices
Supporting the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Coder III - Cardiology

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

Location

United States , Sheboygan

Salary:

28.55 - 42.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows.
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
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

New

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

Medical Records Coder III

University of Rochester

Location:
United States of America , Rochester

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 20, 2026

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Job Description:

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Job Posted:February 20, 2026

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