Medical Records Coder II

001 University of Rochester; New York (NY); On-site; USD 28,000 - 39,000; Full time

Job summary

University of Rochester is seeking a Health Information Management coder to review diagnoses and procedure codes, ensure accurate data for professional payments, and generate reports for leadership. The role supports coding quality and timely payment while operating within established workflows and collaborating with internal and external partners.

The position requires a high school diploma with limited experience and preferred AHIMA/CPC certifications.

Qualifications

• Knowledge of ICD-10-CM, CPT and HCPCS preferred.
• Working knowledge of medical terminology and anatomy preferred.

Responsibilities

• Reviews system edits and assigns appropriate codes to ensure quality healthcare data and accurate professional payments.
• Prepares reports for designated leader(s).
• Uses knowledge of coding systems and system logic to review codes and assign codes per workflow.
• Completes system edit reviews to correct before transmittal.
• Ensures work queue and responsibilities are handled within guidelines and timeframes.
• Troubleshoots problems that prevent claims from being released.
• Identifies cause of edits and resolves issue by reviewing patient encounters.
• Consults with internal customers and external vendors for clarity when documentation is inconsistent or incomplete.
• Prepares reports for designated leader to document recurring problems and sources of reimbursement delays.
• Keeps leadership informed to resolve invoice payment delays.
• Provides Providers and staff with coding information as needed.
• Responds to coding information requests and inquiries from various sources.
• Other duties as assigned.

Skills

ICD-10-CM CPT HCPCS knowledge

Medical terminology

Certification preferred: RHIA RHIT CCS

Education

High School diploma or equivalent

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): 2619 W Henrietta Rd, Rochester, 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 105 H Compensation Range: $20.34 - $28.51 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

• Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment.
• Prepares reports for designated leader(s).

Essential Functions

• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow.
• Completes system edit reviews to make corrections before transmittal.
• Ensures work queue and responsibilities are handled within established guidelines and timeframes.
• Troubleshoots problems that prevent claims from being released.
• Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays.
• Works closely with designated leader to ensure effective communication to resolve invoice payment delays.
• As necessary, provides Providers and other staff with information relative to coding.
• Responds to coding information requests and inquiries from various sources.
• Other duties as assigned.

Minimum Education & Experience

• High School diploma or equivalent and less than 1 year of relevant experience required Or equivalent combination of education and experience

Knowledge, Skills and Abilities

• Knowledge of ICD-10CM, CPT and HCPSC preferred
• Working knowledge of medical terminology and anatomy preferred

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.