Med Rec Coder II

DaMar Staffing; United States; On-site; USD 28,000 - 39,000; Full time

Job summary

The University of Rochester is seeking a Coding professional in Health Information Management to review edits, assign ICD-10-CM/CPT/HCPCS codes, and ensure accurate professional payments. You will generate reports, resolve coding discrepancies, and collaborate with internal and external stakeholders.

Minimum education includes a high school diploma with <1 year of experience; RHIA/RHIT/CCS or CPC/CMC credentials are preferred. A commitment to accuracy and timely processing is essential.

Qualifications

• Knowledge of ICD-10CM, CPT and HCPCS preferred.
• Working knowledge of medical terminology and anatomy preferred.
• AHIMA accreditation (RHIA/RHIT) or CCS, CPC/CMC preferred.

Responsibilities

• Reviews system edits and assigns appropriate codes to ensure quality data and accurate professional payment.
• Prepares reports for designated leaders and resolves coding-related issues.
• Consults with internal/external stakeholders for specificity when documentation is unclear.
• Identifies root causes of reimbursement delays and communicates solutions to providers.
• Responds to coding information requests and inquiries.

Skills

ICD-10CM knowledge

CPT knowledge

HCPCS knowledge

Medical terminology

Anatomy knowledge

Education

High School diploma or equivalent

RHIA/RHIT or CCS preferred

CPC or CMC preferred

Job description

The University of Rochester is seeking a professional for the position within the Health Info Mgmt-Coding department.

Work Shift: UR - Day (United States of America)

Range: UR URG 105 H

Compensation Range: $20.34 - $28.51

Responsibilities:

Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s).

Essential Functions:

• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
• Ensures work queue and responsibilities are handled within established guidelines and timeframes. Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays. Works closely with designated leader to ensure effective communication to resolve invoice payment delays. As necessary, provides Providers and other staff with information relative to coding.
• Responds to coding information requests and inquiries from various sources.
• Other duties as assigned.

Minimum Education & Experience:

• High School diploma or equivalent and less than 1 year of relevant experience required
• Or equivalent combination of education and experience

Knowledge, Skills and Abilities:

• Knowledge of ICD-10CM, CPT and HCPSC preferred
• Working knowledge of medical terminology and anatomy preferred

Licenses and Certifications:

• American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). preferred or
• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute. preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law ("Protected Characteristics"). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.