CAH - MEDICAL RECORDS CODER

North Star Health Alliance•Carthage, NY

About The Position

The Medical Records Coder reviews medical records and assigns appropriate ICD-10-CM, CPT, and HCPCS codes. The role ensures coded information is accurate and complete for billing and reimbursement, while meeting productivity and quality standards. The coder stays current with coding guidelines, regulations, compliance requirements, coding systems, reimbursement methodologies, and healthcare regulations. They collaborate with healthcare professionals to resolve coding discrepancies and obtain additional documentation, and provide feedback and education on coding and documentation practices as needed. This is a full-time, day-shift position with a schedule of either 7:00 a.m.–3:00 p.m. or 8:00 a.m.–4:00 p.m. The stated base pay range is $24.30–$32.43. The employer notes that pay may be modified and is determined by factors including experience, qualifications, specialty, internal equity, location, and contracts.

Requirements

  • Three to five years of medical records coding experience.
  • AHIMA CCS or CCS-P certification, or AAPC CPC certification, required.
  • Proficiency in coding ICD-10-CM, CPT, and HCPCS.
  • Knowledge of medical terminology, anatomy, and physiology.
  • Ability to sustain attention to detail and accuracy in documenting information.
  • Ability to maintain quality assurance and comply with requirements of regulatory agencies.
  • Strong analytical and problem-solving skills.
  • Ability to work independently and collaboratively within a team.

Responsibilities

  • Review medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes.
  • Ensure coded information is accurate and complete for billing and reimbursement purposes.
  • Maintain productivity and quality standards for assigned coding tasks.
  • Stay updated on coding guidelines, regulations, and compliance requirements.
  • Keep abreast of changes in coding systems, reimbursement methodologies, and healthcare regulations.
  • Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation when necessary.
  • Provide constructive feedback and education to clinical and administrative staff on coding and documentation best practices as needed.
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