Med Rec Coder II

University of Rochester•Town of Henrietta, NY

23h•$20 - $29•Onsite

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. This role involves reviewing system edits and assigning appropriate codes from an appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. The position also includes preparing reports for designated leader(s). The essential functions involve using knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. This includes completing system edit reviews to make corrections before transmittal, ensuring work queues and responsibilities are handled within established guidelines and timeframes, and troubleshooting problems that prevent claims from being released. The coder will identify the cause of edits and independently resolve issues by reviewing the patient encounter to understand the nature of the problem. Consultation with internal customers and external vendors may be required to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete. The role also involves preparing reports for designated leaders to document recurring problems and identify the source of reimbursement delays, and working closely with designated leaders to ensure effective communication to resolve invoice payment delays. As necessary, the coder will provide Providers and other staff with information relative to coding and respond to coding information requests and inquiries from various sources. Other duties as assigned.

Requirements

High School diploma or equivalent and less than 1 year of relevant experience required
Or equivalent combination of education and experience

Nice To Haves

Knowledge of ICD-10CM, CPT and HCPSC preferred
Working knowledge of medical terminology and anatomy preferred
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
Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute. preferred

Responsibilities

Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment.
Prepares reports for designated leader(s).
Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow.
Completes system edit reviews to make corrections before transmittal.
Ensures work queue and responsibilities are handled within established guidelines and timeframes.
Troubleshoots problems that prevent claims from being released.
Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem.
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays.
Works closely with designated leader to ensure effective communication to resolve invoice payment delays.
As necessary, provides Providers and other staff with information relative to coding.
Responds to coding information requests and inquiries from various sources.
Other duties as assigned.