Experienced Outpatient Medical Record Coder

Stony Brook University; Commack (NY); On-site; USD 81,000 - 102,000; Full time

Job summary

Stony Brook University Hospital seeks an Experienced Outpatient Medical Record Coder to assign precise codes using ICD-10-CM/PCS, CPT and HCPCS for services in the facility. The role involves reviewing documentation, applying coding guidelines, and ensuring accuracy in coding.

Candidates should have an associate's degree, 5+ years outpatient facility coding and CCS/CCS-P/CPC credentials, with proficiency in encoder, EMR, Citrix and Microsoft Office.

Qualifications

• At least 5 years of outpatient facility coding experience with relevant credentials.
• CCS/CCS-P/CPC certification required or equivalent in lieu of a degree.
• Experience with ICD-10-CM/PCS, CPT and HCPCS coding conventions.

Responsibilities

• Assign ICD-10-CM/PCS, CPT and HCPCS codes with modifiers for outpatient facility services.
• Review records to determine accurate codes based on documentation.
• Maintain HIPAA privacy standards and comply with regulatory requirements.
• Demonstrate proficiency with encoder and EMR interfaces in a remote setting.

Skills

ICD-10-CM/PCS coding

CPT coding

HCPCS coding

Microsoft Office

EMR / encoder usage

Education

Associate’s degree

CCS/CCS-P/CPC certification

Tools

Facility encoder

EMR systems

Citrix

Adobe Reader

Job description

Experienced Outpatient Medical Record Coder

Position Summary

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

Duties of a Experienced Outpatient Medical Record Coder may include the following but are not limited to:

• Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment
• 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 high 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, Citrix, and Adobe Reader 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
• And other duties as assigned

Qualifications

Required Qualifications:

• Associate’s degree, at least 5 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR, in lieu of a degree,
• At least 8 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR
• At least 10 years of outpatient facility coding experience

Preferred Qualifications:

• 5 or more years of facility outpatient procedure coding experience
• Bachelor’s degree in a non-clinical Health Care related field such as HIM, Health Sciences, or Health Informatics
• Facility coding experience in an Academic Medical Center
• Cancer Center injection/infusion coding experience
• Experience coding emergency room observation encounters
• Experience coding injections and infusion for facilities
• Experience with surgical procedure coding of all specialties

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. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

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• Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions maybe subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Prior to start date, the selected candidate must meet the following 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 (3) 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).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

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

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Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment 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 other 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 the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here .

Visit our WHY WORK HERE page to learn about the total rewards we offer.

Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.

Anticipated Pay Range:

The salary range (or hiring range) for this position is $77,000 - $97,653 / year.

The above salary range represents SBUH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.

Some positions offer annual supplemental pay such as:

• Location pay for UUP, CSEA & PEF full-time positions ($4000)

Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.

Job Number: 2602308

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 Shift Hours: : 8:00 AM - 4:30 PM Pass Days: : Sat, Sun

Posting Start Date : Jun 23, 2026

Posting End Date : Sep 21, 2026, 8:59:00 PM

Salary: : $81,000 - $101,653 / Total

Salary Grade: : SL2

SBU Area: : Stony Brook University Hospital

Req ID: 2602308