Professional Coder

Albany Medical Center; City of Albany (NY); Remote; USD 55,000 - 84,000; Full time

Job summary

An established industry player is seeking a Professional Coder to ensure compliance with coding regulations and guidelines. This remote position involves reviewing and validating CPT and ICD-10 codes, performing audits, and interacting with providers to support accurate documentation. The ideal candidate will possess a strong understanding of coding standards and demonstrate excellent communication skills. Join a dynamic team dedicated to upholding the highest standards in health information management, while enjoying the flexibility of remote work and opportunities for professional growth.

Benefits

Flexible Work Hours

Professional Development Opportunities

Health Insurance

Retirement Plan

Paid Time Off

Employee Assistance Program

Wellness Programs

Qualifications

• 1-3 years of experience in provider professional fee coding preferred.
• High proficiency in verbal and written communication skills.

Responsibilities

• Review, analyze, and validate CPT and ICD-10 codes for compliance.
• Perform accurate coding of diagnosis codes and charges.

Skills

CPT Coding

ICD-10 Coding

HCPCS Modifiers

Communication Skills

Auditing Skills

Education

High School Diploma/G.E.D.

Coding Credential (CPC, CCA, CCS, COC, RHIT, RHIA)

Tools

Microsoft Word

Microsoft Excel

Job description

Department/Unit:

Health Information Management

Work Shift:

Day (United States of America)

Salary Range:

$55,895.80 - $83,843.71The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote.

Essential Duties and Responsibilities

• Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines.
• Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.
• Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Ensure established productivity and quality standards are met.
• Review denials, research and respond appropriately and timely.
• Perform audits as determined by management.
• Assist with all levels of application testing for identified coding workflows as needed.
• Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.
• Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate.
• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
• Remain knowledgeable of all insurance products (including Managed care, Medicaid and Medicare), policies and procedures as well as State and Federal mandates and legislation in relation to coding and documentation.
• Interact with providers and their staff to support accuracy and specificity in documentation and procedural and diagnostic coding.
• All other duties as assigned.

Qualifications

• High School Diploma/G.E.D. - required
• 1-3 years Experience in provider professional fee coding - preferred
• Working knowledge and experience with provider professional fee coding and charge processing. Computer experience, windows environment with proficiency in Microsoft Word and Excel is required. Excellent verbal and written communication skills.
  (High proficiency)
• CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC and be in good standing. - required

Equivalent combination of relevant education and experience may be substituted as appropriate.

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Frequently
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Occasionally
• Hazards - Rarely
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Med is the centerpiece of medicine, research, and medical education in New York’s Capital
Region and is the area's largest private employer with more than 10,000 employees.

Albany Med offers excellent career opportunities in a wide range of roles in both patient care and
administration. We value all our staff members and offer outstanding employee benefits including:

Anchored in the state’s historic capital city, Albany Med offers a full range outpatient and inpatient care
and is home to the region’s largest hospital, only Level 1 trauma center, and only children’s hospital. The
downtown campus also offers opportunities at Albany Medical College.

Albany Med partners with Columbia Memorial Health, Saratoga Hospital and Glens Falls Hospital to form the Albany Med Health System, serving more than three million people over 25 counties.