Primary Care Coder

nyuhs; City of Binghamton (NY); On-site; USD 34,000 - 58,000; Full time

Job summary

United Health Services (UHS) is seeking a Primary Care Coder to assign ICD-10, CPT, and HCPCS codes across outpatient and clinical settings. The role supports internal medicine, family practice, pediatrics, hospitalist services, and ED encounters, ensuring accurate documentation and compliant coding practices.

The coder will review documentation for accuracy, submit charges, and stay current with payer guidelines, AHIMA/AAPC standards, and ongoing education.

Qualifications

• Experience with ICD-10, CPT, and HCPCS coding.
• Ability to review documentation for accuracy and regulatory compliance.
• Knowledge of payer requirements and regulatory standards.
• Commitment to AHIMA/AAPC standards and continuing education.

Responsibilities

• Assign accurate ICD-10 diagnosis, CPT, and HCPCS codes with modifiers per payer rules.
• Review clinical documentation for accuracy, completeness, and compliance with reimbursement guidelines.
• Enter and validate professional and technical charges based on medical record documentation.
• Monitor and resolve coding-related work queues, claim edits, and billing exceptions to support clean claims.
• Query physicians to clarify incomplete or conflicting documentation for accurate coding.
• Abstract and document patient/encounter data from medical records using coding software.
• Maintain productivity and quality standards; escalate coding concerns to leadership as appropriate.
• Stay current with ICD-10, CPT, HCPCS, Medicare/Medicaid/payer requirements and regulatory coding guidelines.
• Uphold confidentiality and medico-legal policies.
• Adhere to AHIMA/AAPC Standards and complete required continuing education.

Skills

CPT coding

ICD-10 coding

HCPCS

Regulatory compliance

Physician queries

Education

High School Diploma

Associates Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS

Job description

Position Overview

United Health Services (UHS) is seeking a Primary Care Coder to accurately assign ICD-10, CPT, and applicable modifier codes to patient health information across a variety of outpatient and clinical practice settings. This role supports coding activities for internal medicine, family practice, pediatrics, hospitalist services, walk-in clinics, specialty practice evaluation and management services, and emergency department encounters. The Coding Specialist plays a critical role in ensuring accurate documentation, data retrieval, claim processing, and reimbursement.

The ideal candidate will maintain a strong understanding of coding and reimbursement guidelines while consistently producing accurate code assignments with minimal errors. This position requires attention to detail, knowledge of regulatory requirements, and a commitment to supporting compliance, revenue integrity, and high-quality patient care through precise and timely coding practices.

Primary Department, Division, or Unit: Coding and Reimbursement, UHS Revenue Cycle Operations

Primary Work Shift: Day

Regular Scheduled Weekly Hours: 40

Compensation Range: per hour, depending on experience

Job Responsibilities

• Assign accurate ICD-10 diagnosis, CPT procedure, and HCPCS codes, including appropriate modifiers, in accordance with payer requirements, regulatory standards, and organizational policies.
• Review clinical documentation to ensure coding accuracy, completeness, and compliance with reimbursement guidelines.
• Enter and validate professional and technical charges based on medical record documentation and established departmental procedures.
• Monitor and resolve coding-related work queues, claim edits, and billing exceptions in a timely manner to support clean claim submission.
• Query physicians and other healthcare providers to clarify incomplete, ambiguous, or conflicting documentation necessary for accurate code assignment.
• Abstract and document pertinent patient and encounter information from medical records using designated coding and billing software applications.
• Maintain established productivity, quality, and accuracy standards while identifying and escalating coding concerns to leadership as appropriate.
• Stay current with ICD-10, CPT, HCPCS, Medicare, Medicaid, commercial payer, and regulatory coding requirements to ensure ongoing compliance.
• Adhere to patient confidentiality, release of information, medical record amendment, and other medico-legal policies in accordance with organizational and regulatory standards.
• Uphold the AHIMA and AAPC Standards of Ethical Coding while completing required continuing education activities and maintaining applicable coding certifications.

Position Qualifications

Minimum:

• High School Diploma
• 1 year relative medical billing or coding experience

Preferred:

• Associates Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS certification.
• 3 years of medical coding/billing experiences
• CPT and ICD-10 coding knowledge.
• Ability to read and understand explanation of benefits and ANSI/remark codes.

Why You’ll Love Working at UHS

At United Health Services (UHS), we believe every connection-to patients, to purpose, to each other-makes a difference. That's why we're intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we're here to help you thrive in work and life.

A Culture of Connection - We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations.

Comprehensive Benefits for Life & Family - We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.

Well-Being & Financial Security - From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we're here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.

Growth That Moves with You - With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitivene