Coder Analyst Outpatient HIM MHB

Catholic Health; Buffalo (NY); On-site; USD 52,000 - 72,000; Full time

Job summary

Mercy Hospital of Buffalo is seeking a dedicated Medical Coder to code ambulatory, ER/urgent care, interventional radiology and local surgery records for accurate reimbursement and compliance. You will query physicians when documentation is unclear and review the full medical record using ICD-9-CM and CPT classifications.

Requirements include a health information degree (B.S. or AAS), RHIA/RHIT preferred or CCS/CPC certification; eligibility for certification within one year, and ongoing

Qualifications

• B.S. in Health Information Management or AAS in Health Information Technology; RHIA/RHIT preferred.
• Certification as RHIA/RHIT or CCS/CPC considered; eligible candidates acceptable if enrolled in HIT/HIM program.
• Maintains AHIMA/AAPC credentials and passes coding tests as required.

Responsibilities

• Code hospital ambulatory, ER/urgent care, interventional radiology, and local surgery records.
• Review complete medical records for accurate ICD-9-CM and CPT coding.
• Query physicians when documentation is unclear; ensure compliance and reimbursement.

Skills

Written communication

Interpersonal skills

Analytical abilities

Problem solving

Team collaboration

Education

RHIA/RHIT certification

AA/AS in HIM/Health IT

CPC/CMC/CCS certification

Job description

Facility: Mercy Hospital of Buffalo

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: CWA Local 1133

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours:

7:00am-3:00pm

Summary:

Codes hospital Ambulatory, ER / Urgent Care, Interventional Radiology and Local Surgery records for the purpose of accurate reimbursement, research and compliance with federal regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness.

Responsibilities:

EDUCATION

• B.S. in Health Information Management or AAS in Health Information Technology or
• Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider an RHIA or RHIT eligible candidate if enrolled in an HIT or HIM program and candidate has completed coding, medical terminology, anatomy & physiology;
• Certified Professional Coder (CPC), Certified Medical Coder (CMC) with certification from the American Academy of Professional Coders (AAPC); graduate of a comparable Healthcare/HIM program eligible to sit for Certified Professional Coder (CPC), Certified Medical Coder (CMC) or an experienced coder with the Certified Coder Specialist (CCS) credentials would also be considered.
• Successful certification within one (1) year of date of hire or graduation, whichever is later. (AHIMA or AAPC).
• Candidates are required to take and successfully pass a CH coding test.
• Maintains credentials by meeting AHIMA/ AAPC continuing education requirements.
  
  

Experience

• Six (6) months coding experience in an acute care facility is preferred.
  
  

KNOWLEDGE, SKILL AND ABILITITY

• Thorough knowledge of ICD-9-CM and CPT coding systems, medical terminology, anatomy and physiology.
• Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, department managers, CDI Specialists and Finance.
• Superior written and interpersonal communication skills
• Drive performance. Ambitious, takes prompt action for priorities, addresses challenges & opportunities. Possess skills related to organization and prioritization. Is action oriented.
• Demonstrated proficiency with computers, software, hardware and technological advances.
• Problem Solving: Includes appropriate staff in problem solving, defining, and prioritizing.
• Excellent analytical skills.
• Mobilizer. Sets goals/expectations. Ability to meet deadlines consistently and generate reports.
• Change Driver. Welcomes improvement, open to new ideas of others, helps others embrace change and accepts suggestions for change from other team members. Embraces creative thinking, generates creative solutions.
• Ability to read medical record documents and utilize computer to enter diagnoses, procedures and patient data throughout the day.
• Ability and knowledge to review CDI worksheet and utilize (if appropriate) to code chart and/or query physician.
  
  

WORKING CONDITIONS

• Primary work is sedentary with majority of time spent sitting.
• Frequent repetitive action of using computer keyboard.
• Individual works in an office setting utilizing medical records, computers and various software and reference books to assign codes for accurate reimbursement.
• Travel is required for float positions.
• NYS Drivers license and transportation is required. Travel between facilities to assist with coding at other sites.
  
  

ENVIRONMENT

• Normal heat, light space, and safe working environment; typical of most office jobs.