Coder I - Hospital Ambulatory Surgery

Mohawk Valley Health System; City of Utica (NY); On-site; USD 32,000 - 39,000; Full time

Job summary

Mohawk Valley Health System is hiring a Medical Records Coder I in Utica, NY to improve documentation, data quality and revenue cycle operations. The coder assigns ICD-10-CM/PCS codes according to guidelines to support accurate billing.

The role requires collaboration with providers, auditing charges and handling denials while maintaining compliant coding practices and timely documentation updates. This position is full-time with daytime shifts.

Qualifications

• AS in Health Information Management or related degree or equivalent experience.
• Knowledge of EMR, Coding Software, and Microsoft Office.
• Knowledge/understanding of modifiers, medical necessity & CCI edits.
• Good Oral and Written Communication.

Responsibilities

• Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
• Audit charges and establish proper coding in collaboration with providers
• Initiate and follow up on queries with providers
• Assist departments with diagnostic and procedural coding
• Respond to Insurance, compliance and RAC denials
• Review and assist in the maintenance of coding related policies and procedures
• Perform other duties as required.

Skills

EMR knowledge

Coding software

Microsoft Office

Modifiers & CCI

Communication skills

Education

AS in Health Information Management

BS in Health Information Management (preferred)

Tools

Epic

3M software

Job description

Job Summary

Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.

Job Summary

Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.

Core Job Responsibilities

• Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
• Audit charges and establish proper coding in collaboration with providers
• Initiate and follow up on queries with providers
• Assist departments with diagnostic and procedural coding
• Respond to Insurance, compliance and RAC denials
• Review and assist in the maintenance of coding related policies and procedures
• Perform other duties as required.

Education/Experience Requirements

REQUIRED:

• AS in Health Information Management , a related degree or equivalent experience
• Knowledge of EMR, Coding Software, and Microsoft Office
• Knowledge/understanding of modifiers, medical necessity & CCI edits
• Good Oral and Written Communication

Preferred

• BS in Health Information Management
• Knowledge of Epic and 3M software

Licensure/Certification Requirements

PREFERRED:

• RHIA, RHIT, CCS, CCA, CPC, CIC Certification

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 97125

Department CODING

Shift Days

Shift Hours Worked 7.50

FTE 0.94

Work Schedule HRLY NON-UNION

Employee Status A1 - Full-Time

Union Non-Union

Pay Range 22.50 - $28 hourly