Med Records Coder IV, Complex

University of Rochester; Town of Brighton (NY); Remote; USD 35,000 - 49,000; Full time

Job summary

The University of Rochester is seeking an experienced Medical Coder to join the Health Information Management-Coding department in Brighton, NY. This full-time role requires applying ICD-10-CM, CPT and HCPCS guidelines to diverse medical documents and ensuring accurate coding.

You will review denials, abstract data, respond to internal requests, and collaborate with internal teams and vendors. Minimum education includes a high school diploma with 3 years of coder experience; RHIA/CCS/CPC

Qualifications

• Proficient in ICD-10CM, CPT and HCPSC coding guidelines.
• Working knowledge of medical terminology and anatomy.
• 3+ years of medical coding experience or equivalent.
• RHIA/CCS/CPC credentials preferred.

Responsibilities

• Abstracts data and assigns appropriate procedural terminology and codes.
• Translates medical documentation into accurate codes per guidelines.
• Reviews coding denials and resolves related issues.
• Responds to internal data requests and collaborates with internal/external stakeholders.
• May supervise lower-level staff and support multi-specialty coding tasks.

Skills

ICD-10CM

CPT

HCPCS

Medical terminology

Education

High School diploma

3 years experience in Medical Coding

Associate's degree preferred

Or equivalent combination of education and experience

Job description

Remote

2613 West Henrietta Road

Full time

R273609

Job Location (Full Address)

2613 W Henrietta Rd, Brighton, 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 108 H

Compensation Range

$25.14 - $35.24

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. May check the work of lower level Medical Coding staff and/or have assignment of multi-specialty departmental coding.

ESSENTIAL FUNCTIONS

• Uses advanced knowledge of coding, coding systems, and system logic to translate medical 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. May check the work of independent charge entry/coding staff.
• Responds to coding information requests from various sources.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• High School diploma or equivalent and 3 years of experience as 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
• 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.

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.