Experienced Outpatient Medical Record Coder
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
- And other duties as assigned
Benefits
- Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
