Coder - Outpatient at Rochester Regional Health in Rochester, New York

Job Description:

Description

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  Position Summary:
  
  
  
  Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and/or CPT codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Coding Manager, accurately codes conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting and/or CPT Assistant. Demonstrates knowledge of reimbursement methodologies and applies to assigned charts in order to optimize reimbursement and/ or resolve regulatory edits. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.
  
  
  
  Key Responsibilities:
  
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines and keeps abreast of coding changes and interpretation of codes.
  • Complies with RRH & HIM department policies & procedures
  Reviews appropriate provider documentation to identify & assign diagnoses & surgical procedure or treatment codes using ICD-10-CM and CPT procedure codes as defined in facility specific guidelines.
  • Meets established departmental productivity guidelines for the specific type of coding being performed with 95% accuracy on a consistent basis.
  • Utilizes Care Connect, UDS and Clintegrity systems proficiently to obtain ICD10-CM and CPT codes
  • Utilizes technical coding principals and APC/E-APG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT procedure codes
  • Formulates compliant coding queries when documentation is inadequate, ambiguous or unclear for coding purposes
  • Enters and/or updates data accurately in various systems as departmental policy indicates.
  
  
  
  Minimum Qualifications:
  
  Advance coding certification credential: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), RHIT/RHIA certification, Radiology Certified Coder (RCC), Certified Coding Associate (CCA), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), Certified Risk Adjustment Coder (CRC), Certified Professional Coder-Payer (CPC-P), or any of the specialty coding certifications offered by AAPC (CASCC, CANPC, CCC, CCVTC, CCPC, CPCD, CEDC, CEMC, CFPC, CGIC, CGSC, CHONC, CIMC, CIRCC, COBGC, COPC, COSC, CENTC, CPEDC, CPRC, CRHC, CSFAC, CUC).
  - Will consider RHIT eligible candidate who sits for the exam within one year of hire
  Full CPC certification must be obtained within 24 months if employee holds CPC-A from the American Academy of Professional Coders (AAPC) at time of hire or 36 months after certification if obtained after employment.
  - For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire.
  
  
  
  

EDUCATION:

• AS: Health Information Management (Required)

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.



PAY RANGE: $20.50 - $27.50

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran Apply Now