Medical Records Coder I

3000 Montefiore Medical Center; United States; On-site; USD 99,187,000 - 107,453,000; Full time

Job summary

Montefiore Medical Center in Bronx, NY seeks a coding specialist to perform daily ICD-10 and CPT-4 coding for the department, handling billing, collections and related tasks. The role supports smooth daily operations of the practice and provides training to new staff.

The position emphasizes accuracy, timely handling of denials, and coordination with physicians to ensure proper documentation for reimbursement.

Qualifications

• High school diploma required; BA preferred.
• 1–3 years experience in billing/coding preferred.
• Proficient in EPIC EMR; CPC certification required.

Responsibilities

• Verifies CPT-4 codes and identifies principal and secondary ICD-10 codes.
• Coding is 100% accurate to maximize reimbursement.
• Reviews physician documentation in EPF for appropriate billing and coding.
• Assists in daily operations of the practice and training of new associates.
• Gathers and verifies necessary patient treatment documentation daily.

Skills

Organizational skills

Attention to detail

Multitasking

Communication skills

Education

High School Diploma

BA Preferred

Tools

EPIC Electronic Medical Records

MS Word

MS Excel

Job description

City/State: Bronx, New York

Grant Funded: No

Department: Neuro - Revenue CYCLE

Bargaining Unit: 1199

Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: 8:30 AM-5 PM

Scheduled Daily Hours: 7.5 HOURS

Hourly Rate: $36.40

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates,

Job Summary

Responsible for the daily ICD-10 and CPT-4 coding of the department records. Responsible or billing, collection and related issues, such as edits, correspondence and accounts receivables. Other secretarial and clerical duties as required. Assist with the daily operations of the practice as needed.

Essential Functions

• Verifies CPT-4 codes and identifies principal and secondary ICD-10 codes
• Coding is 100% accurate
• Reviews all physician documentation in EPF for appropriate billing and coding
• Coding is 100% accurate to maximize reimbursement
• Reviews all TES/Medicode coding edits
• Coding is 100% accurate
• Reviews and resolves all coding denials
• Unpaid claims are reduced in a timely manner to maximize reimbursement
• Gathers, clarifies and verifies necessary patient treatment documentation from inpatient care areas
• Documentation is obtained on a daily basis to ensure prompt and accurate billing to decrease billing lag days
• Generates all physician inpatient charges
• Charges are complete and accurate
• Reconciles inpatient discharge report against EPF to capture all patient billing
• Billing is complete and accurate to enhance charge entry process turn-around time
• Communicates with physicians to verify and clarify chart documentation
• Charges accurately reflect documented treatment
• Assists in the training of new associates
• New associates are properly trained
• Other duties as assigned
• Assists with special projects and other functions as required
• Practices and promotes Montefiore Standards of Excellence (R-E-S-P-E-C-T)

Qualifications

High School Required BA Preferred 1-3 years 3 years EPIC Electronic Medical Records System, clerical experience involving patient registration/billing/coding. Required The successful incumbent will be an energetic, focused team player with a positive outlook. She/he must posses' excellent organizational skills, be detail oriented, able to produce high volumes of accurate work and remain flexible. She/he will be able to take direction and ask questions appropriately; be able to communicate effectively, both verbally and in writing; demonstrate ability to enter alpha/numeric data quickly; read, understand and follow verbal and written instructions; and work independently. Communicate new issues within a timely manner. Computers and applicable software, copiers, calculators and other routine office machines. Must be independent, able to multi task and exhibit strong interpersonal skills. Must be proficient in MS Word and/or Excel. Must have excellent knowledge of Epic electronic medical information system Must display good judgment skills. Some knowledge of HMO and managed care plans and covered benefits. . Knowledge of Anatomy, physiology and Medical terminology. Always keep high level of professionalism. OHS Annual Assessment Required CPC Certification Required

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Since its inception in 1884, Montefiore’s mission has been to heal, to teach, to discover and advance the health of the communities we serve. Montefiore's state-of-the-art facilities include the internationally-recognized Children’s Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise. An assortment of insurance products and discount programs through Voluntary Benefits. Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives.