Experienced Outpatient Medical Record Coder
About The Position
At Stony Brook Medicine, the Experienced Outpatient Medical Record Coder selects and assigns accurate codes from current coding systems, including ICD-10-CM/PCS, CPT, and HCPCS. The role reviews medical records and supporting documentation to determine appropriate codes for services and diagnoses, and uses coding resources and reference materials to support accurate coding. The coder follows HIPAA and institutional privacy requirements, maintains knowledge of laws, regulations, and industry guidance affecting compliant coding, and meets productivity and quality goals. The position uses the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting, along with Microsoft Office, Citrix, and Adobe Reader. The coder also supports the HIM department through special projects and other assigned duties.
Requirements
- One of the following qualification paths: an associate’s degree, at least 5 years of outpatient facility coding experience, and CCS, CCS-P, or CPC certification; or at least 8 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification in lieu of a degree; or at least 10 years of outpatient facility coding experience.
- Resume/CV must be included with the online application.
- Selected candidate must successfully complete a pre-employment physical examination and obtain medical clearance from Employee Health Services.
- Selected candidate must complete an electronic reference check with a minimum of three professional references.
- Selected candidate must successfully complete a 4-panel drug screen and meet regulatory requirements for pre-employment screenings.
- Selected candidate must provide copies of any required New York State licenses or certificates.
Nice To Haves
- At least 5 years of facility outpatient procedure coding experience.
- Bachelor’s degree in a non-clinical healthcare-related field such as HIM, Health Sciences, or Health Informatics.
- Facility coding experience in an Academic Medical Center.
- Cancer Center injection/infusion coding experience.
- Experience coding emergency room observation encounters.
- Experience coding facility injections and infusions.
- Experience with surgical procedure coding across all specialties.
Responsibilities
- Assign ICD-10-CM/PCS, CPT, and HCPCS codes, including modifiers, for services provided in the facility environment.
- Review medical records and applicable documentation to determine appropriate codes for services and diagnoses.
- Use coding resources and applicable reference materials to ensure accurate coding.
- Follow HIPAA regulations and institutional privacy requirements and preserve the confidentiality of medical-record data.
- Use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
- Use Microsoft Office applications, Citrix, Adobe Reader, and required computer systems with minimal assistance.
- Maintain working knowledge of laws, regulations, and industry guidance affecting compliant coding.
- Meet coder productivity and quality goals.
- Participate in special projects supporting and promoting the HIM department.
- Perform other duties as assigned.
Benefits
- Comprehensive benefits, including generous leave, health insurance, and participation in the state pension system.
- Some full-time UUP, CSEA, and PEF positions may include $4,000 in location pay.
- Some positions may include shift differentials or other supplemental pay.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
