Med Records Coder III, Complex

Job Location: Remote Work - New York, Albany, New York, United States of America

Full-time, 40 scheduled weekly hours

Compensation Range: $23.27 - $32.60 per hour. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

• Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG).
• Analyzes, enters, and manipulates database.
• Responds to or clarifies internal requests for medical information.
• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
• Reviews and resolves coding denials.
• Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
• Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
• Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned.

Requirements

• High School diploma or equivalent and 2 years of experience as a medical coder required.
• Associate's degree in Health Information Technology or health-related field preferred.
• Additional coding experience in area of assignment preferred.
• Or equivalent combination of education and experience.

Skills

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

Qualifications

• American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) preferred.
• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred.