Med Records Coder IV, Complex

University of Rochester • Rochester, NY

8d • $25 - $35 • Remote

About The Position

The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

Requirements

• HS Diploma
• 3 years’ experience as Medical Coder
• Knowledge of ICD-10CM, CPT and HCPSC
• Working knowledge of medical terminology and anatomy

Nice To Haves

• Associates degree in Health Information Technology or health related field, preferred
• Additional coding experience in area of assignment, preferred
• Successful completion of 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).
• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute.

Responsibilities

• Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
• Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
• Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
• Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED