Med Records Coder IV, Complex

Job Location: 2613 W Henrietta Rd, Brighton, New York, United States of America, 14623

Worker Subtype: Regular Time | Full time | Scheduled Weekly Hours: 40

Compensation Range: $25.14 - $35.24 per hour

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.
• Analyzes, enters, and manipulates database.
• Responds to or clarifies internal requests for medical information.
• May check the work of lower-level Medical Coding staff and/or have assignment of multi-specialty departmental coding.
• Uses advanced knowledge of coding, coding systems, and system logic to translate medical 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. May check the work of independent charge entry/coding staff.
• Responds to coding information requests from various sources.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent.
• Other duties as assigned.

Requirements

• High School diploma or equivalent and 3 years of experience as a Medical Coder required.
• Associate's degree preferred.
• Or equivalent combination of education and experience.

Skills

• Knowledge of ICD-10CM, CPT, and HCPSC 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.