Remote Medical Records Coder III — ICD/CPT Expert

University of Rochester; United States; Remote; USD 62,408,000 - 87,480,000; Full time

Job summary

The University of Rochester is seeking a Medical Coder for a remote, full-time opportunity in the Health Info Mgmt-Coding department. The role involves reviewing codes for accuracy, resolving insurance denials, and ensuring proper reimbursement based on coding guidelines.

Required: high school diploma or equivalent and 1 year of Medical Coder experience; Associate's degree preferred; knowledge of ICD-10CM, CPT, and HCPCS; AHIMA CPC/ RHIA/RHIT or CCS preferred.

Qualifications

• Knowledge of ICD-10CM, CPT and HCPCS required.
• Working knowledge of medical terminology and anatomy required.

Responsibilities

• Reviews codes for accuracy in accordance with coding rules and policies.
• Responsible for system edit reviews and follows up on insurance coding denials for resolution.
• Troubleshoots problems that prevent claims from being released; identifies causes and resolves issues.
• May abstract data and review codes for accuracy to ensure accurate reimbursement.
• Responds to coding information requests and inquiries from various sources.
• Consults with internal customers and external vendors for clarification when documentation is inconsistent or incomplete.

Skills

ICD-10CM knowledge

CPT knowledge

HCPCS knowledge

Medical terminology

Education

High School diploma or equivalent

Associate's degree preferred

Job description

The University of Rochester is seeking a Medical Coder for a remote, full-time opportunity in the Health Info Mgmt-Coding department. The role involves reviewing codes for accuracy, resolving insurance denials, and ensuring proper reimbursement based on coding guidelines.

Required: high school diploma or equivalent and 1 year of Medical Coder experience; Associate's degree preferred; knowledge of ICD-10CM, CPT, and HCPCS; AHIMA CPC/ RHIA/RHIT or CCS preferred.