Med Records Coder III, Complex

University of RochesterRochester, NY
2d$23 - $32Remote

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. The Medical Coder III 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.

Requirements

  • HS Diploma required
  • 2 years’ experience as Medical Coder required
  • Knowledge of ICD-10CM, CPT and HCPSC required
  • Working knowledge of medical terminology and anatomy required

Nice To Haves

  • Associates 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 required
  • Successful completion of 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.
  • Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred.

Responsibilities

  • 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
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