Remote Outpatient Coder — ICD-10 & Reimbursement Specialist

Rochester Regional Health; City of Rochester (NY); Remote; USD 29,000 - 41,000; Full time

Job summary

Rochester Regional Health is seeking a Coder - Outpatient to review clinical documentation and apply ICD-10-CM/PCS codes for billing, reporting, and compliance. You will use Care Connect, UDS, and Clintegrity to obtain codes and DRG assignments, while ensuring adherence to AHIMA guidelines and internal productivity targets.

Required AS in Health Information Management with coding credentials. This role supports remote work and maintains high accuracy, providing guidance on documentation

Qualifications

• AS: Health Information Management (Required).
• Two years of progressive coding experience preferred.
• Certifications: CCS, CCS-P, CPC, CPC-H, CMC, RHIT, RHIA, CPC-A, or specialty coding certification.

Responsibilities

• Review inpatient documentation to assign ICD-10-CM/PCS codes with accuracy.
• Ensure 95% productivity accuracy per departmental guidelines.
• Use Care Connect, UDS and Clintegrity to obtain codes and DRG assignments.
• Formulate physician coding queries when documentation is unclear.
• Correct failed claims and assist in reducing billing errors.
• Provide guidance to clinicians on documentation and coding opportunities.

Skills

Attention to detail

Regulatory coding guidelines

AHIMA coding knowledge

Education

Associate of Science in Health Information Management

Tools

Care Connect

UDS

Clintegrity

Job description

Rochester Regional Health is seeking a Coder - Outpatient to review clinical documentation and apply ICD-10-CM/PCS codes for billing, reporting, and compliance. You will use Care Connect, UDS, and Clintegrity to obtain codes and DRG assignments, while ensuring adherence to AHIMA guidelines and internal productivity targets.

Required AS in Health Information Management with coding credentials. This role supports remote work and maintains high accuracy, providing guidance on documentation