Medical Records Coder III
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. The Med Records Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation 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 required
- 1 years’ experience as Medical Coder required
- 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 or equivalent combination of education and experience required
- 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) Or 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
51-100 employees
