Hospital Coder

100 Albany Med Health System; City of Albany (NY); On-site; USD 40,363 - 52,817; Full time

Benefits offered by this job

Excellent health care coverage

Wide array of wellness programs

Job summary

Albany Med Health System is looking for a skilled Hospital Coder to join their Health Information Services team. In this role, you will utilize your expertise to ensure accurate coding and compliance with healthcare regulations, contributing to high-quality patient care. Candidates should have a high school diploma and relevant coding certifications. Excellent communication skills and the ability to work independently in a remote setting are essential. The position offers competitive hourly rates along with comprehensive benefits.

Qualifications

• Detail-oriented and efficient with coding practices.
• High proficiency needed in ICD-10-CM, CPT-4 Coding classification systems.
• Prior experience in hospital medical coding preferred.

Responsibilities

• Utilize a computerized encoding system for accurate coding.
• Support external reporting of healthcare data elements.
• Clarify discrepancies in health record documentation with providers.

Skills

Attention to detail

Excellent communication

Computer proficiency

Independent work

Education

High School Diploma/G.E.D.

Coding certification through AHIMA or AAPC

Tools

3M 360

EPIC system

Job description

Department/Unit:

Health Information Services

Work Shift:

Day (United States of America)

Salary Range:

$55,895.80 - $83,843.71Hospital Coder, Albany
Health Information Management

The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.

Essential Duties and Responsibilities

• Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
• Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
• Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
• Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
• Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
• Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
• Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
• Attends coding meetings and roundtable sessions.
• Participates in daily huddles and LEAN problem-solving activities.
• Focused with no distractions while working and participating in meetings.
• Ensures camera on while attending Teams calls.
• Assists with organizing the shared drive for the medical coding department.
• Other duties as assigned by manager.

Qualifications

• High School Diploma/G.E.D. - required
• Prior experience in hospital medical coding - preferred
• Prior experience with 3M 360 and EPIC system - preferred
• Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
• Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
• Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
• Excellent written and verbal communication skills. (High proficiency)
• Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
• Detail-oriented and efficient while maintaining productivity.
• Coding certification / credential through AHIMA or AAPC and be in good standing. - required
• Equivalent combination of relevant education and experience may be substituted as appropriate.

Salary Range: $29.30/hr - $38.34/hr

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital
Region and is the area's largest private employer with more than 10,000 employees.

Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and
administration. We value all our staff members and offer outstanding employee benefits including:

· Excellent health care coveragewith no copay at Albany Medical Center providers

· A wide array of services and programs to support emotional, physical, and mental wellbeing

Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care
and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The
downtown campus also offers opportunities at Albany Medical College.