Coding Specialist

Kaleida Health; Town of Tonawanda (NY); Remote; USD 39,000 - 57,000; Full time

Benefits offered by this job

Remote work

Job summary

Kaleida Health is hiring a coding specialist to handle inpatient and outpatient records, ensuring accurate reimbursement and data quality. The role requires RHIT/RHIA credentials within specified timelines and knowledge of ICD-10, CPT, and PCS coding systems.

Responsibilities include physician query communication, E/M level calculation, and charge posting, with a commitment to regulatory compliance and data integrity.

Qualifications

• AAS in Health Information Technology (Medical Record Technology) is a minimum requirement.
• BS in Health Information Management/Medical Records preferred.
• RHIT or RHIA certification must be obtained within 6 months of hire/transfer.
• CCS or CPC certification must be maintained as Kaleida requirement.
• 1 year of ICD-10/PCS/CPT coding in an acute care facility preferred.
• Experience with Windows/Office and basic computer proficiency required.

Responsibilities

• Code inpatient and outpatient records using ICD-10, PCS, and CPT.
• Interact with medical staff for physician queries when documentation is unclear.
• Calculate facility E/M level using designated software and post charges.
• Ensure compliance with federal/state regulations and coding guidelines.

Skills

RHIT Certification

ICD-10 Coding

CPT/PCS Coding

Windows/Office

Education

AAS in Health Information Technology

BS in HIM/Medical Records

RHIT or RHIA within 6 months

CCS/CPC certifications

Job description

Department : KH Health Information Management

Location: Larkin Bldg @ Exchange Street

Location of Job : US:NY:Buffalo

Work Type : Full-Time

Scheduled Work Hours: 7:30am -3:30 pm

Shift 1

Job Description

The coding specialist is responsible for coding, including, but not limited to any type of inpatient/or outpatient medical records for the purpose of data quality, accurate reimbursement, severity of illness/risk of mortality assignment (SOI/ROM), and research and compliance with federal and state regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing the International Classification of Diseases 10th revision (ICD 10) and Procedures (PCS, CPT). Interacts with the medical staff on issues requiring further clarification using a physician query process when there are identifiable clinical indicators, conflicting documentation, or uncertainty in the documentation in the medical record. This position is responsible to calculate the facility E/M level using designated software application and performs charge posting for procedures. Effective 9/11/2012: Within 6 months of hire or transfer to this position, employees who have an AAS in Health Information Technology (Medical Record Technology) must obtain & maintain RHIT certification & for those employees with a Bachelor of Science in Health Information Management (Medical Record Administration) must obtain & maintain RHIA certification. Employees in position prior to 9/11/2012 are exempt from the RHIT or RHIA requirement, however, those with credentials must maintain credentials such as CCS or CPC certification.

Education And Credentials

Associate of Applied Science in Health Information Technology (Medical Record Technology) is a minimum requirement. Bachelor of Science in Health Information Management or Medical Records Administration is preferred. Reg Health Info Tech (RHIT) within 6 months required. Reg Health info Admin (RHIA)- employees with a BS in HIM/Medical Record must obtain this certification within 6 months of hire or transfer into position and it must be maintained as a Kaleida requirement. Certified Coding Specialist (CCS)-grandfathered employees without HIM/Medical Record degrees who have this certification, it must be maintained as a Kaleida requirement. For employees who have AAS or BS degrees in HIM/Medical Records, CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/Medical Records degrees who have this certification, it must be maintained as a Kaleida requirement.

Experience

1 year of experience in coding with ICD 10, PCS, CPT Coding and DRG/APC assignment in an acute care facility preferred. Prior experience with computerized software for encoding and grouping applications. 6 months of experience which shows evidence of ICD 10 continuing education credits required. 1 year of experience in Microsoft Windows/Office and proficiency in working with computers required. Coding Assessment ICD 10 skills test required.

Working Conditions

Essential

• Weight Requirement - Light (up to 20 lbs)

Job Details

Standard Hours Bi-Weekly : 75.00

FTE: 1.000000

Weekend/Holiday Requirement: No

On Call Required : No

With Rotation

Work Arrangement : Remote

Union Code : U28 - SEIU 1199 Kaleida PFS BusOfcCl

Requisition ID# : 26113

Grade : C12A

Pay Frequency : Bi-Weekly

Salary Range: $ 28.45 - $41.70

• Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

Kaleida Health’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!