Primary Care Coder

United Health Services•Binghamton, NY

1d•Onsite

About The Position

United Health Services (UHS) is seeking a Primary Care Coder to accurately assign ICD-10, CPT, and applicable modifier codes to patient health information across a variety of outpatient and clinical practice settings. This role supports coding activities for internal medicine, family practice, pediatrics, hospitalist services, walk-in clinics, specialty practice evaluation and management services, and emergency department encounters. The Coding Specialist plays a critical role in ensuring accurate documentation, data retrieval, claim processing, and reimbursement. The ideal candidate will maintain a strong understanding of coding and reimbursement guidelines while consistently producing accurate code assignments with minimal errors. This position requires attention to detail, knowledge of regulatory requirements, and a commitment to supporting compliance, revenue integrity, and high-quality patient care through precise and timely coding practices.

Requirements

High School Diploma
1 year relative medical billing or coding experience
CPT and ICD-10 coding knowledge.
Ability to read and understand explanation of benefits and ANSI/remark codes.

Nice To Haves

Associates Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS certification.
3 years of medical coding/billing experiences

Responsibilities

Assign accurate ICD-10 diagnosis, CPT procedure, and HCPCS codes, including appropriate modifiers, in accordance with payer requirements, regulatory standards, and organizational policies.
Review clinical documentation to ensure coding accuracy, completeness, and compliance with reimbursement guidelines.
Enter and validate professional and technical charges based on medical record documentation and established departmental procedures.
Monitor and resolve coding-related work queues, claim edits, and billing exceptions in a timely manner to support clean claim submission.
Query physicians and other healthcare providers to clarify incomplete, ambiguous, or conflicting documentation necessary for accurate code assignment.
Abstract and document pertinent patient and encounter information from medical records using designated coding and billing software applications.
Maintain established productivity, quality, and accuracy standards while identifying and escalating coding concerns to leadership as appropriate.
Stay current with ICD-10, CPT, HCPCS, Medicare, Medicaid, commercial payer, and regulatory coding requirements to ensure ongoing compliance.
Adhere to patient confidentiality, release of information, medical record amendment, and other medico-legal policies in accordance with organizational and regulatory standards.
Uphold the AHIMA and AAPC Standards of Ethical Coding while completing required continuing education activities and maintaining applicable coding certifications.