Hospital Coder

Albany Medical Center•Albany, NY

6d•$59,066 - $88,599•Remote

About The Position

The Hospital Coder applies knowledge of mandated coding and classification systems and official resources to select appropriate diagnostic, procedural, and other healthcare-service codes, including applicable modifiers. The coder selects and sequences codes to support the reimbursement to which the facility is legally entitled, while maintaining ethical and legal coding practices. This position uses computerized coding tools and official coding guidelines to accurately represent patient services and report required healthcare data. The coder may query providers for clarification when health-record information is conflicting, incomplete, or ambiguous. The position also supports continuing coding education, internal coding policies, team meetings, daily huddles, and department organization. This is a fully remote role requiring a work area that protects confidential health information.

Requirements

High school diploma or GED.
Coding certification or credential through AHIMA or AAPC, in good standing.
Score of 80% or above on the assessment; new coders may be considered with a higher assessment score.
Excellent computer skills, including navigating multiple systems simultaneously and troubleshooting.
Ability to work independently in a fully remote position.
Excellent written and verbal communication skills.
High proficiency with ICD-10-CM and ICD-10-PCS or CPT-4 coding classification systems, depending on the position.
Detail-oriented and efficient while maintaining productivity.
Equivalent combinations of relevant education and experience may be substituted as appropriate.

Nice To Haves

Prior experience in hospital medical coding.
Prior experience with 3M 360 and EPIC systems.

Responsibilities

Use a computerized encoding system to facilitate accurate coding.
Sequence diagnoses and procedures according to ICD-10-CM/PCS, CPT-4, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines.
Support complete and accurate reporting of healthcare data elements for reimbursement, value-based purchasing, administrative uses, population health, quality and patient safety measurement, and research.
Query physicians or other qualified healthcare practitioners for clarification or additional documentation when health-record information is conflicting, incomplete, or ambiguous regarding reportable conditions, procedures, or data elements.
Advance coding knowledge and practice through continuing education, including meeting continuing education requirements.
Demonstrate integrity and commitment to ethical and legal coding practices.
Apply official coding rules and guidelines to accurately represent patient services on hospital claims.
Comply with comprehensive internal coding policies and procedures consistent with requirements.
Attend coding meetings and roundtable sessions.
Participate in daily huddles and LEAN problem-solving activities.
Maintain focus while working and participating in meetings.
Keep the camera on while attending Teams calls.
Assist with organizing the shared drive for the medical coding department.
Perform other duties as assigned by the manager.
Maintain a remote coding work area that protects confidential health information and follow minimum-necessary access and information-protection practices.