Medical Records Coder II — Data Quality & Coding

University of Rochester; West Henrietta (NY); On-site; USD 28,000 - 39,000; Full time

Job summary

University of Rochester is seeking a Coding Specialist in Health Information Management to ensure accurate data capture and timely coding for medical records. You will review documentation, assign codes, and support claim processing.

The role requires at least a high school diploma and minimal experience, with knowledge of ICD-10-CM, CPT, and HCPCS preferred. AHIMA or CPC credentials are a plus, and the team values accuracy and collaboration.

Qualifications

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

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).
• 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.

Skills

ICD-10CM knowledge

CPT & HCPCS knowledge

Medical terminology

Anatomy knowledge

Education

High School diploma or equivalent

Or equivalent education/experience

Job description

University of Rochester is seeking a Coding Specialist in Health Information Management to ensure accurate data capture and timely coding for medical records. You will review documentation, assign codes, and support claim processing.

The role requires at least a high school diploma and minimal experience, with knowledge of ICD-10-CM, CPT, and HCPCS preferred. AHIMA or CPC credentials are a plus, and the team values accuracy and collaboration.