Medical Records Coder IV, Complex

University of Rochester; City of Albany (NY); Hybride; USD 35 000 - 49 000; Plein temps

Résumé du poste

The University of Rochester is seeking a Medical Coder IV, Complex to join our coding team in New York. This role specializes in in-depth abstraction and analysis of diverse medical documentation across multiple specialties, assigning accurate procedural terminology and medical codes per applicable rules.

Responsibilities include reviewing codes, resolving denials, abstracting data, and communicating coding issues to providers and leaders.

Qualifications

• Knowledge of ICD-10-CM, CPT and HCPSC is required.
• Working knowledge of medical terminology and anatomy is required.
• AAHIP/CPC/CMC credentials are preferred.
• 3 years of experience as a Medical Coder or related role is expected.

Responsabilités

• Review codes and assign ICD-10-CM, E/M, CPT, HCPCS and modifiers according to coding guidelines.
• Review and resolve coding denials and provide feedback for corrections.
• Abstract data, review codes for accuracy and perform system edits as needed.
• Respond to coding information requests from various sources.
• Consult with internal customers and vendors for clarification when documentation is incomplete.
• Perform other duties as assigned.

Connaissances

ICD-10-CM knowledge

CPT/HCPCS knowledge

Medical terminology

Anatomy knowledge

Formation

HS diploma or equivalent

Associate’s degree preferred

Additional coding experience preferred

Equivalent combination allowed

Description du poste

Hybrid

Rochester - NY

Time as Reported / Per Diem

R275847

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):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Time as Reported / Per Diem

Scheduled Weekly Hours:

As Scheduled

Department:

910503 United Business Office 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:

The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

ESSENTIAL FUNCTIONS

• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record 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. Performs system edit checks and corrects errors as needed.
• Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned

MINIMUM EDUCATION & EXPERIENCE

• High School diploma or equivalent and 3 years of experience as Medical Coder required
• Associate's degree in Health Information Technology or health related field preferred
• Additional coding experience in area of assignment 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.

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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.