Experienced Inpatient Medical Record Coder

Stony Brook University; Commack (NY); On-site; USD 62,424 - 75,949; Full time

Benefits offered by this job

Comprehensive benefits package

Paid leave

State pension

Job summary

A renowned educational institution in Commack seeks an Experienced Inpatient Medical Record Coder. The coder will assign accurate codes and ensure HIPAA compliance, with mandatory experience in inpatient coding. Ideal candidates will possess a related Associate's degree and CCS certification, with a preference for those with extensive experience in academic settings. The role offers a comprehensive benefits package and a competitive salary.

Qualifications

• Minimum 5 years of facility inpatient coding experience.
• Strong understanding of coding systems and regulations.
• Experience working in an academic medical center preferred.

Responsibilities

• Select and assign accurate codes from coding systems.
• Review the medical record for appropriate codes.
• Maintain compliance with HIPAA and institutional policies.

Skills

Proficient in Microsoft Office Applications

ICD-10 CM, ICD-10 PCS, CPT, HCPCS coding

Knowledge of HIPAA regulations

Education

Associate's degree in Health Care related field

CCS certification

Job description

Job Description - Experienced Inpatient Medical Record Coder (2502642)

Experienced Inpatient Medical Record Coder

Overview

At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.

Responsibilities

• Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
• Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
• Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
• Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
• Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
• Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
• Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
• Must meet all coder productivity and quality goals.
• Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects.
• Assign and sequence ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Other duties as assigned.

Qualifications

Required Qualifications: Associate’s degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience or, in lieu of degree, at least 8 years of facility inpatient coding experience. CCS certification.

Preferred Qualifications: Bachelor’s degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics or related field. 10 or more years facility inpatient coding experience. Experience coding facility inpatient encounters for an academic medical center.

Special Notes

Resume/CV should be included with the online application.

Posting Overview

This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (within two weeks of the posting date).

If no candidate is selected during the initial review, additional applications may be considered; however, the posting will close once a finalist is identified, and at minimum, two weeks after the initial posting date. If no candidate is identified and hired within 90 days, the posting may close for review and possibly be reposted later.

Stony Brook Medicine is a smoke free environment. All hospital positions may be subject to changes in pass days and shifts as necessary. This position may require wearing respiratory protection, which may prohibit facial hair. This function/position may be designated as “essential.” In an institutional emergency, employees in such positions may be required to remain at or report to work to protect, recover, and continue operations.

Pre-Start Requirements

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
• Complete electronic reference check with a minimum of three professional references.
• Successfully complete a 4-panel drug screen*
• Meet regulatory requirements for pre-employment screenings.
• Provide a copy of any required New York State license(s)/certificate(s).

*The hiring department will be responsible for any fee incurred for examination.

Stony Brook University is committed to diversity and an inclusive environment. All qualified applicants will receive consideration without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status, and all protected classes under federal or state laws.

If you need a disability-related accommodation, please call the University Office of Equity and Access at [phone].

In accordance with applicable laws, crime awareness and security statistics can be viewed on our site.

Anticipated Pay Range: The starting salary range for this position is $62,424 - $75,949 per year. In addition, full-time UUP positions have a $3,400 location pay. Total compensation includes benefits such as leave, health plans, and state pension.

Job Details

Official Job Title: TH Medical Records Specialist

Job Field: Administrative & Professional (non-Clinical)

Primary Location: US-NY-Commack

Department/Hiring Area: Revenue Integrity

Schedule: Full-time

Shift: Day Shift, 8:00 AM - 4:00 PM EST

Pass Days: Sat, Sun

Posting Start Date: [see posting]

Posting End Date: Sep 26, 2025, 3:59:00 AM

Salary Grade: SL2