Medical Records Coder IV, Complex

001 University of Rochester; New York (NY); Hybrid; USD 35,000 - 49,000; Full time

Job summary

The University of Rochester is seeking a Medical Coder IV, Complex to analyze diverse medical documentation and assign accurate codes across specialties. This remote role supports our United Business Office Coding team.

You will review coding guidelines (ICD-10-CM, CPT, HCPCS), resolve denials, and collaborate with providers to improve documentation. A minimum of three years of coding experience and RHIA/RHIT or CPC preferred.

Qualifications

• High School diploma or equivalent with 3 years of medical coder experience.
• Associates degree in Health Information Technology or related field preferred.
• Additional coding experience in area of assignment preferred; equivalent education/experience.

Responsibilities

• Review codes from electronic charge capture and assign ICD-10-CM, E/M, CPT, HCPCS codes.
• Analyze and abstract data from medical records for accuracy.
• Respond to coding information requests from internal and external stakeholders.
• Review coding denials and provide feedback for correction.
• Communicate opportunities for documentation improvement to providers and leaders.
• Collaborate with internal customers and external vendors for clarity when documentation is incomplete.
• Perform system edit checks and correct errors.
• Other duties as assigned

Skills

ICD-10-CM

CPT

HCPCS

Medical terminology

Anatomy

Education

High School diploma or equivalent

Associates degree in Health Information Technology

Job description

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.

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.