Medical Records Coder II

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

📋 Description

• Evaluates system edits and applies the correct codes from the relevant coding classification system to ensure the generation of high-quality healthcare data and precise professional payments.

• Generates reports for assigned leader(s).

• Leverages knowledge of coding systems and system logic to review codes produced by electronic charge capture and/or assigns the correct codes based on medical record documentation in accordance with designated workflows.

• Completes reviews of system edits to make necessary corrections prior to transmittal.

• Ensures that the work queue and responsibilities are managed within established guidelines and timelines.

• Identifies and troubleshoots issues that hinder the release of claims.

• Analyzes the cause of edits and independently resolves problems by reviewing the patient encounter to comprehend the issue's nature.

• Collaborates with internal customers and external vendors to gain further specificity and clarification when documentation seems inconsistent or incomplete.

• Compiles reports for designated leaders to document recurring issues and pinpoint the source of reimbursement delays.

• Works closely with the designated leader to ensure effective communication and resolution of invoice payment delays.

• As needed, supplies Providers and other staff with relevant coding information.

• Addresses requests and inquiries for coding information from various sources.

• Performs additional duties as assigned.

⛳️ Requirements

• High School diploma or equivalent, with less than 1 year of relevant experience required.

• Familiarity with ICD-10CM, CPT, and HCPCS preferred.

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

• Accreditation from the American Health Information Management Association (AHIMA) through the Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) examination is preferred.

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

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer match.

• Generous paid time off and holiday schedule.

• Opportunities for professional development and continuing education.