Primary Care Coder: ICD-10/CPT Specialist for Growth

United Health Services; City of Binghamton (NY); On-site; USD 34,000 - 55,000; Full time

Job summary

United Health Services (UHS) is seeking a Primary Care Coder to accurately assign ICD-10, CPT, and modifiers to patient records across outpatient and clinical settings. The Coding Specialist supports coding for internal medicine, family practice, pediatrics, hospitalist services, walk-in clinics, specialty E/M, and ED encounters with emphasis on accurate documentation and timely coding.

The ideal candidate will have a high school diploma and at least 1 year of medical billing or coding

Qualifications

• High School Diploma.
• 1 year relative medical billing or coding experience.
• Associates Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS certification preferred.
• 3 years of medical coding/billing experience preferred.
• CPT and ICD-10 coding knowledge required.

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.

Skills

ICD-10 coding

CPT coding

Modifier codes understanding

Education

High School Diploma

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

Job description

United Health Services (UHS) is seeking a Primary Care Coder to accurately assign ICD-10, CPT, and modifiers to patient records across outpatient and clinical settings. The Coding Specialist supports coding for internal medicine, family practice, pediatrics, hospitalist services, walk-in clinics, specialty E/M, and ED encounters with emphasis on accurate documentation and timely coding.

The ideal candidate will have a high school diploma and at least 1 year of medical billing or coding