Outpatient Coder

About the role

The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist.

Responsibilities

• Report to the Coding Manager and Director of HIM Department.
• Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS/or CPT codes according to established procedures.
• Maintain optimal standards of coding and assume uniformity of coding for compliance and reimbursement.
• Ensure the selection of accurate and descriptive codes from the appropriate classification system.
• Ensure the confidentiality of data contained in the patients medical records.
• Analyze the information contained in the medical records.
• Analyze the information contained in the medical records to ensure that the most appropriate codes are used.
• Queries the physicians for the appropriate documentation.
• Work collaboratively with all departments and hospital staff.
• Perform other related duties as assigned.

Qualifications

• Required: RHIA or RHIT or CCS or CPC coding certification.
• Required: Ability to make coding decisions based on use of established coding guidelines.
• Required: Must have ability to work independently and be a self-starter.
• PREFERRED: BS Degree with related Health Information Management experience.
• PREFERRED: 3-5 years direct coding experience in an acute care setting.