Outpatient Coder

103 Rochester General Hospital; Erie (Erie County); Híbrido; USD 29 000 - 41 000; Tempo integral

Resumo da oferta

Rochester Regional Health is seeking an experienced Coder - Outpatient to join the Coding/Clinical Documentation department. This full-time, remote-friendly role focuses on accurate ICD-10-CM/PCS coding for outpatient charts and supports billing and compliance processes.

Responsibilities include auditing documentation, resolving coding errors, and collaborating with physicians and quality staff to optimize reimbursement while maintaining AHIMA standards.

Qualificações

• AS: Health Information Management degree required.
• Certification in coding (e.g., CCS, CPC, RHIT, RHIA) preferred or required.
• For Homecare, HCS-D certification within 16 months.

Responsabilidades

• Adheres to AHIMA coding guidelines and updates. Performs detailed review of inpatient records to assign ICD-10-CM/PCS codes.
• Uses Care Connect, UDS, Clintegrity to obtain codes and DRG assignments.
• Assists physicians and staff with coding queries to improve documentation and reimbursement.

Formação académica

AS: Health Information Management (Required)

Ferramentas

Care Connect

UDS

Clintegrity

Descrição da oferta de emprego

JOB TITLE: Coder - Outpatient

STATUS: Full-Time

LOCATION: Riedman- Remote

DEPARTMENT: Coding/Clinical Documentation

SCHEDULE: M-F; 8:00 AM to 4:30 PM

SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors.

RESPONSIBILITIES

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes. Performs detailed review of Inpatient record documentation to identify & assign diagnosis & procedure codes using ICD-10-CM and ICD-10-PCS. Meets established departmental productivity guidelines with 95% accuracy on a consistent basis. Utilizes Care Connect, UDS, and Clintegrity systems proficiently to obtain ICD10 codes and DRG assignment. Formulates compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear for coding purposes. Corrects failed claim errors to billing edits, accounts misclassified and/or other errors identified through various auditing processes in a timely manner. Provide assistance to customers (physicians, clinical quality staff) regarding clinical documentation opportunities, coding reimbursement issues, and quality improvement review process.

MINIMUM QUALIFICATIONS

One of the following certifications is required: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice CPC-A, or a specialty coding certification. Candidates with an Associate degree from an accredited American Health Information Management Association (AHIMA) are required to sit for the Registered Health Information Technician (RHIT) exam within 1 year of hire. At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred. Full CPC certification must be obtained within 24 months if employee holds CPC-A from the American Academy of Professional Coders (AAPC) at time of hire. For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire. Grandfather Clause: If hired on or before September 30, 2018, 2 years of relevant work experience and one of the following coding certification credentials: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder - Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or a specialty coding certification and Associate’s degree in Health Information Management are required.

EDUCATION

AS: Health Information Management (Required)

PHYSICAL REQUIREMENTS

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE: $20.75 - $29.50 CITY: Rochester POSTAL CODE: 14617 The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.