Medical Records Coder IV, Complex
About The Position
The Medical Coder IV, Complex functions as an advanced coder, abstracting and analyzing medical documentation across multiple specialties and assigning appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies, including ICD-10, CPT-4, HCPCS, and DRG. The role also analyzes, enters, and manipulates database information and responds to or clarifies internal requests for medical information. The position reviews codes generated through electronic charge capture and assigns codes from medical record documentation according to recognized coding guidelines. It reviews and resolves coding denials and claim errors, abstracts data, checks code accuracy, performs system edits, responds to coding information requests, and communicates documentation improvement opportunities and coding issues. The coder consults internal customers and external vendors to clarify inconsistent or incomplete documentation. Other duties may be assigned. This is a per-diem, time-as-reported position based in New York, with remote work listed as the work location. The stated compensation range is $25.14–$35.24; individual hourly rates are determined based on factors including market data, education, experience, qualifications, expertise, and internal equity.
Requirements
- High school diploma or equivalent and 3 years of experience as a Medical Coder, or an equivalent combination of education and experience.
- Knowledge of ICD-10-CM, CPT, and HCPCS.
- Working knowledge of medical terminology and anatomy.
Nice To Haves
- Associate's degree in Health Information Technology or a health-related field.
- Additional coding experience in the area of assignment.
- AHIMA accreditation as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS).
- Certified Professional Coder (CPC) from AAPC or Certified Medical Coder (CMC) from Practice Management Institute.
Responsibilities
- Review codes created by electronic charge capture and assign ICD-10-CM, E/M, CPT, HCPCS, and modifier codes from medical record documentation in accordance with recognized coding guidelines.
- Review and resolve coding denials.
- Resolve claim problems related to improper coding and provide feedback for correction and follow-up.
- Abstract data and review codes for accuracy.
- Perform system edit checks and correct errors as needed.
- Respond to coding information requests from various sources.
- Communicate documentation improvement opportunities and coding issues to providers, departments, and/or designated leaders for follow-up and resolution.
- Consult with internal customers and external vendors to obtain specificity or clarification when documentation is inconsistent or incomplete.
- Analyze, enter, and manipulate database information.
- Respond to or clarify internal requests for medical information.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
High school or GED
