Med Rec Coder III, Complex

This is a fully remote position, open to applicants in New York.

📋 Description

• Acts as a proficient coder, performing abstraction and comprehensive analysis of various medical documents while assigning suitable procedural terminology and medical codes in line with applicable coding standards and policies.

• Analyzes, inputs, and manages database information.

• Addresses or clarifies internal inquiries regarding medical data.

• Utilizes extensive knowledge of coding systems and their logic to assess codes generated by electronic charge capture and/or assigns codes based on medical record documentation in accordance with universally acknowledged coding guidelines.

• Examines and resolves coding denials.

• Troubleshoots issues with claims containing errors due to incorrect coding and offers feedback for amendments and follow-up.

• Extracts data and verifies the accuracy of codes.

• Conducts system edit checks and rectifies errors as necessary.

• Responds to requests for coding information from various sources.

• Communicates opportunities for document improvement and coding concerns to providers, departments, and/or designated leaders for further action and resolution.

• Engages with internal stakeholders and external vendors to gain additional specificity and/or clarification when documentation appears inconsistent or incomplete.

⛳️ Requirements

• High School diploma or equivalent, along with 2 years of experience as a medical coder is required.

• An Associate's degree is preferred.

• Proficiency in ICD-10CM, CPT, and HCPCS is required.

• A working knowledge of medical terminology and anatomy is essential.

• Preferred credentials include 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).

• Certification as a Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from the Practice Management Institute is preferred.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and continuous learning.

• Supportive work environment fostering collaboration and growth.