Outpatient Coder & Medical Records Specialist

SUNY Downstate Health Sciences University; New York (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

SUNY Downstate Health Sciences University in New York seeks a full-time Outpatient Coder / TH Medical Records Specialist. You will abstract clinical information from the medical record and assign ICD-10-CM, ICD-10-PCS or CPT codes, ensure coding accuracy for compliance and reimbursement, and maintain confidentiality.

You will query physicians when documentation is unclear, work with multiple departments and the HIM Department leadership, and perform related duties as assigned.

Qualifications

• RHIA or RHIT or CCS or CPC coding certification.
• Ability to make coding decisions based on established coding guidelines.
• Must be able to work independently and be a self-starter.
• Preferred: BS Degree with related Health Information Management experience.
• Preferred: 3–5 years direct coding experience in an acute care setting.

Responsibilities

• Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS or CPT codes according to established procedures.
• Maintain optimal standards of coding and ensure uniform coding for compliance and reimbursement.
• Ensure the selection of accurate and descriptive codes from the appropriate classification system.
• Ensure confidentiality of data contained in patients' medical records.
• Analyze the information contained in the medical records to ensure that the most appropriate codes are used.
• Query physicians for the appropriate documentation.
• Work collaboratively with all departments and hospital staff.
• Perform other related duties as assigned.

Education

RHIA or RHIT or CCS or CPC coding certification

Job description

SUNY Downstate Health Sciences University in New York seeks a full-time Outpatient Coder / TH Medical Records Specialist. You will abstract clinical information from the medical record and assign ICD-10-CM, ICD-10-PCS or CPT codes, ensure coding accuracy for compliance and reimbursement, and maintain confidentiality.

You will query physicians when documentation is unclear, work with multiple departments and the HIM Department leadership, and perform related duties as assigned.