Med Rec Coder III

001 University of Rochester; New York (NY); On-site; USD 30,000 - 42,000; Full time

Job summary

The University of Rochester is seeking a Medical Coder to join Health Information Management-Coding in Rochester, NY. This full-time role handles coding accuracy, edits, and denials to ensure proper reimbursement and compliant documentation.

Responsibilities include reviewing codes, resolving denials, and collaborating with internal/external stakeholders to clarify documentation. Requires 1 year of coder experience; AHIMA/CPC/CMC certifications are preferred.

Qualifications

• High School diploma or equivalent and 1 year Medical Coder experience required.
• Associate's degree preferred.
• Or equivalent combination of education and experience.

Responsibilities

• Reviews codes for accuracy in accordance with coding rules and policies.
• Responsible for system edit reviews and follows up on insurance coding denials for resolution.
• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow.
• Completes system edit reviews to make corrections before transmittal.
• 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.
• Provides feedback for correction and follow-up.
• May abstract data and review codes for accuracy.
• Responds to coding information requests and inquiries from various sources.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

Medical terminology

Education

High School diploma or equivalent

1 year Medical Coder experience

Associate's degree preferred

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address): 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.78 - $30.53 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

• Reviews codes for accuracy in accordance with coding rules and policies.
• Responsible for system edit reviews and follows up on insurance coding denials for resolution.
• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow.
• Completes system edit reviews to make corrections before transmittal.
• 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.
• Provides feedback for correction and follow-up.
• May abstract data and review codes for accuracy.
• Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
• Responds to coding information requests and inquiries from various sources.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned.

Minimum Education & Experience

• High School diploma or equivalent and 1 year Medical Coder experience required
• Associate's degree preferred
• Or equivalent combination of education and experience

Knowledge, Skills and Abilities

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

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
• 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.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.