Med Records Coder III, Complex

University of Rochester; City of Rochester, Northern (NY, KY); On-site; USD 66,679,000 - 93,412,000; Full time

Job summary

University of Rochester is seeking a Medical Coder III to perform advanced coding, abstraction, and analysis of diverse medical documentation. You will assign ICD-10-CM, CPT, HCPCS codes in accordance with guidelines and participate in data integrity and denial resolution.

Applicants should have a high school diploma with coding experience or an associate degree in Health Information Technology; AHIMA/AAPC credentials are preferred. This is remote work with full-time hours.

Qualifications

• Knowledge of ICD-10-CM, CPT, HCPCS coding guidelines.
• Ability to analyze medical documentation and abstract data.
• Experience with coding denial review and accurate code assignment.

Responsibilities

• Assign codes (ICD-10-CM, E/M, CPT, HCPCS) from medical records.
• Review and resolve coding denials and errors.
• Abstract data and verify codes for accuracy; respond to information requests.
• Communicate coding issues and opportunities for documentation improvement to providers.

Skills

ICD-10-CM

CPT

HCPCS

Medical terminology

Education

High School diploma

Associate's degree in Health Information Technology

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 - New York, Albany, New York, United States of America, 12224

Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60

Responsibilities:

The Medical Coder III 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 (e.g. ICD-10, CPT-4, HCPCS, DRG). 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 (ICD-10-CM, E/M, CPT, HCPCS and modifiers) 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 in Health Information Technology or health related field preferred
• Additional coding experience in area of assignment 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.

Learn. Discover. Heal. Create.

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.