Professional Coder

Albany Medical Center; United States; Remote; USD 59,000 - 89,000; Full time

Job summary

Albany Medical Center is seeking a Professional Coder for a remote role in Health Information Management. The coder will review, analyze, and validate CPT and ICD-10 codes and charges to ensure compliance with federal and state rules and payer guidelines.

Responsibilities include accurate coding, understanding NCCI edits, auditing denials, and supporting ongoing documentation quality. Requires relevant credentials and 1–3 years of coding experience; probation and professional development are

Qualifications

• High School Diploma/G.E.D. required.
• 1-3 years experience in provider professional fee coding preferred.
• Working knowledge of provider professional fee coding and charge processing; Excel/Word proficiency.
• CPC, CCA, CCS, COC, RHIT, RHIA or other AHIMA/AAPC credential; in good standing.

Responsibilities

• Review, analyze, and validate CPT and ICD-10 codes and charges to ensure compliance with federal and state regulations and payer guidelines.
• Code CPT and ICD-10 DX codes accurately and compliantly.
• Understand NCCI edits and RVUs as appropriate for the role.
• Meet productivity and quality standards.
• Review denials, research and respond timely.
• Perform audits as directed by management.
• Assist with testing for coding workflows as needed.
• Attend staff and department meetings and other assigned meetings.
• Pursue professional development via webinars, workshops, and conferences.
• Collaborate with diverse disciplines and varying levels of expertise.
• Stay informed on insurance products and regulatory mandates.
• Interact with providers to improve documentation and coding specificity.
• All other duties as assigned.

Skills

Verbal and written communication

Coding experience

Microsoft Word

Microsoft Excel

Education

High School Diploma/G.E.D.

CPC/CCA/CCS/COC/RHIT/RHIA or AHIMA/AAPC credential

Tools

Microsoft Word

Microsoft Excel

Job description

Department/Unit:

Health Information Management

Work Shift:

Day (United States of America)

Salary Range:

$59,066.00 - $88,599.00

The 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 Med Health System!

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, 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 Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.