Experienced Outpatient Medical Record Coder

SBHU•Commack, NY

About The Position

At Stony Brook Medicine, the Experienced Outpatient Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes. Duties of a Experienced Outpatient Medical Record Coder may include the following but are not limited to: Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services Follow all HIPAA regulations and uphold a high standard around privacy requirements Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting Demonstrates proficiency with Microsoft Office Applications, Citrix, and Adobe Reader in using required computer systems with minimal assistance Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding Must meet all coder productivity and quality goals Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects And other duties as assigned

Requirements

Associate’s degree, at least 5 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR, in lieu of a degree, At least 8 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR At least 10 years of outpatient facility coding experience

Nice To Haves

5 or more years of facility outpatient procedure coding experience
Bachelor’s degree in a non-clinical Health Care 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 injections and infusion for facilities
Experience with surgical procedure coding of all specialties

Responsibilities

Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services
Follow all HIPAA regulations and uphold a high standard around privacy requirements
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting
Demonstrates proficiency with Microsoft Office Applications, Citrix, and Adobe Reader in using required computer systems with minimal assistance
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding
Must meet all coder productivity and quality goals
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects
Other duties as assigned