Inpatient Hospital Coder (Remote position)

100 Albany Med Health System; City of Albany (NY); Remote; USD 59,000 - 89,000; Full time

Job summary

Albany Medical Center is seeking a Per Diem Inpatient Hospital Coder to apply ICD-10-CM/PCS coding within a fully remote role. The coder will select and sequence codes to maximize compliant reimbursement while adhering to ethical standards and guidelines.

Qualifications include a High School Diploma, coding experience, knowledge of ICD-10-CM/PCS or CPT-4, and AHIMA/AAPC certification. Proficiency in 3M 360 and EPIC is preferred, with an assessment score of at least 80% expected.

Qualifications

• High School Diploma or GED required.
• Experience in hospital medical coding preferred.
• Prior experience with 3M 360 and EPIC systems preferred.
• Must score 80% or above on assessment.
• Excellent computer skills across multiple systems.
• Must work independently in a fully remote role.
• Strong written and verbal communication skills.
• Knowledge of ICD-10-CM and ICD-10-PCS or CPT-4 coding systems.
• Coding certification through AHIMA or AAPC required.
• Equivalent education/experience acceptable.

Responsibilities

• Use a computerized encoding system to ensure accurate coding.
• Sequence diagnoses and procedures following ICD guidelines.
• Support external reporting and administrative data elements.
• Query providers for clarification when documentation is incomplete.
• Engage in continuing education to advance coding knowledge.
• Maintain ethical coding practices and confidentiality.

Skills

ICD-10-CM knowledge

ICD-10-PCS/CPT-4 knowledge

Attention to detail

Communication skills

Remote work ability

Computer skills

Assessment score 80+

Independent work

Education

High School Diploma / GED

Tools

3M 360

EPIC system

Job description

Department/Unit: Health Information Management Work Shift: Per Diem (United States of America) Salary Range: $59,066.00 - $88,599.00 The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnosis and procedural (PCS) codes and other codes representing 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. This is a remote position.

Essential Duties and Responsibilities

Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, 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.

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Occasionally
• Lifting - Constantly
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Rarely
• Grasping - Occasionally
• Feeling - Occasionally
• Talking - Rarely
• Hearing - Frequently
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently
• Working Conditions - Frequently

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Rarely
• Hazards - Occasionally
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely

Thank you for your interest in Albany Medical Center! Albany Medical Center 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 Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, 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 Health System 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 coverage with 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. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.

Albany Medical Center 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 Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, 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 Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.