Medical Records Coder IV, Complex

University of Rochester; City of Rochester (NY); Remote; USD 35,000 - 49,000; Full time

Job summary

University of Rochester is seeking a Medical Coder IV, Complex to perform in-depth coding analysis across multiple specialties. The role involves assigning accurate procedures and diagnoses in ICD-10-CM, CPT, HCPCS, and modifiers from medical records, and handling denials and data abstraction.

The position requires strong knowledge of coding guidelines, with 3 years of coder experience and AHIMA/CPC/CMC credentials preferred.

Qualifications

• Requires high school diploma or equivalent with 3 years of medical coder experience.
• AHIMA/CPC/CCS/CMC credentials preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS and coding guidelines.

Responsibilities

• Review codes created by electronic charge capture and assign codes (ICD-10-CM, E/M, CPT, HCPCS).
• Abstract data and review codes for accuracy; perform system edit checks.
• Resolve coding denials and provide feedback for correction and follow-up.
• Respond to coding information requests from internal/external sources.
• Consult with internal customers and vendors for documentation clarity.

Skills

ICD-10-CM

CPT

HCPCS

Medical terminology

Anatomy knowledge

Education

High School diploma or equivalent

3 years Medical Coder experience

Associate's degree in Health Information Technology or health related field (preferred)

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):

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

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.