Med Records Coder III, Complex

University of Rochester; New York (NY); Remote; USD 32,000 - 45,000; Full time

Job summary

University of Rochester seeks a Medical Coder III for the Remote Work - New York area. The role involves advanced coding of diverse medical documentation, assigning appropriate procedures and codes in accordance with ICD-10-CM, CPT, and HCPCS.

Responsibilities include resolving coding denials, data abstraction, and responding to information requests. Required education includes a High School diploma with 2 years of coding experience; an Associate’s degree in Health Information Technology is

Qualifications

• High School diploma or equivalent required; 2 years medical coding experience preferred.
• Associate degree in Health Information Technology or related field preferred.
• AHIMA/ABMS certifications (RHIA/RHIT/CCS) or CPC/CMC preferred.

Responsibilities

• Uses knowledge of coding systems to assign codes (ICD-10-CM, CPT, HCPCS) from medical records.
• Reviews and resolves coding denials and communicates needed corrections.
• Abstracts data, performs system edits, and corrects errors.
• Responds to requests for coding information from internal/external sources.
• Consults with internal customers or vendors for clarification when documentation is incomplete.
• Other duties as assigned.

Skills

Medical coding

ICD-10-CM

CPT

HCPCS

Attention to detail

Education

High School diploma or equivalent

Associate's degree in Health Information Technology

RHIA/RHIT/CCS/CPC preferred

Job description

Job Location (Full Address):

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

Opening:

Worker Subtype:

Regular

Time Type:

Time as Reported / Per Diem

Scheduled Weekly Hours:

As Scheduled

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

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:

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.