Med Rec Coder III, Complex

University of Rochester; United States; Remote; USD 48,000 - 68,000; Full time

Job summary

The University of Rochester is seeking an advanced Medical Coder to analyze medical documentation, assign codes, and ensure compliance with coding guidelines. This remote role is based in Texas with full-time hours and a 40-hour work week.

Expect compensation within the provided range and opportunities to engage with internal teams on coding accuracy and denials. Ideal candidates will have strong knowledge of ICD-10-CM, CPT and HCPCS, plus healthcare terminology proficiency.

Qualifications

• High School diploma or equivalent and 2 years of experience as a medical coder required
• Associate’s degree preferred
• Or equivalent combination of education and experience

Responsibilities

• Functions as an advanced coder in the abstraction and in-depth analysis of medical documentation and assigns appropriate procedural terminology and medical codes
• Analyzes, enters and manipulates database and responds to internal requests for medical information
• Reviews coding denials and resolves issues with claims having errors related to improper coding
• Abstracts data, reviews codes for accuracy and communicates improvements to providers and departments

Skills

ICD-10-CM CPT HCPCS

Medical terminology

Education

High School diploma

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):

Remote Work - Texas, Austin, Texas, United States of America, 78711

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 107 H

Compensation Range:

$23.27 - $32.60

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:

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

ESSENTIAL FUNCTIONS

• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
• Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
• Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
• Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
• 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 2 years of experience as a medical coder 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 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.