Medical Records Coder III — ICD-10/CPT Specialist

001 University of Rochester; New York (NY); On-site; USD 30,000 - 42,000; Full time

Job summary

The University of Rochester is seeking a Medical Coder to join Health Information Management-Coding in Rochester, NY. This full-time role handles coding accuracy, edits, and denials to ensure proper reimbursement and compliant documentation.

Responsibilities include reviewing codes, resolving denials, and collaborating with internal/external stakeholders to clarify documentation. Requires 1 year of coder experience; AHIMA/CPC/CMC certifications are preferred.

Qualifications

• High School diploma or equivalent and 1 year Medical Coder experience required.
• Associate's degree preferred.
• Or equivalent combination of education and experience.

Responsibilities

• Reviews codes for accuracy in accordance with coding rules and policies.
• Responsible for system edit reviews and follows up on insurance coding denials for resolution.
• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow.
• Completes system edit reviews to make corrections before transmittal.
• 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.
• Provides feedback for correction and follow-up.
• May abstract data and review codes for accuracy.
• Responds to coding information requests and inquiries from various sources.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

Medical terminology

Education

High School diploma or equivalent

1 year Medical Coder experience

Associate's degree preferred

Job description

The University of Rochester is seeking a Medical Coder to join Health Information Management-Coding in Rochester, NY. This full-time role handles coding accuracy, edits, and denials to ensure proper reimbursement and compliant documentation.

Responsibilities include reviewing codes, resolving denials, and collaborating with internal/external stakeholders to clarify documentation. Requires 1 year of coder experience; AHIMA/CPC/CMC certifications are preferred.