Inpatient CODER II

Mohawk Valley Health System; City of Utica (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

A healthcare provider in Utica, NY is looking for a Medical Records Coder II. Responsibilities include assigning diagnosis codes for billing, auditing charges for coding accuracy, and handling insurance denials. Candidates should have an AS in Health Information Management or equivalent, with 1 year of inpatient coding experience, and relevant certifications like RHIA or RHIT. Knowledge of EMR and coding software is essential. This role ensures crucial data quality in the revenue cycle operations.

Qualifications

• 1 year of experience as an inpatient coder.
• Knowledge/understanding of modifiers, medical necessity & CCI edits.
• Certification RHIA, RHIT, CCS, CCA, CPC, or CIC required.

Responsibilities

• Assign diagnosis and procedure codes for accurate billing.
• Audit charges and collaborate with providers for proper coding.
• Respond to insurance denials and assist with coding policies.

Skills

Knowledge of EMR

Coding Software

Microsoft Office

Good Oral and Written Communication

Education

AS in Health Information Management or related degree

BS in Health Information Management (preferred)

Tools

Epic

3M software

Job description

The Medical Records Coder II 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
• Performs other duties as required.

Education/Experience Requirements

REQUIRED:

• AS in Health Information Management, a related degree or equivalent experience
• 1 year of experience as an inpatient coder.
• 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

REQUIRED:

• RHIA, RHIT, CCS, CCA, CPC, or CIC certification

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, 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.