Coder – Inpatient

🕒 May 21

🗽 New York – Remote

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💵 $22 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 45%

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Logo of Rochester Regional Health

Rochester Regional Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Rochester Regional Health is an integrated health services organization serving the people of Western New York. It operates multiple hospitals and healthcare facilities, providing a wide range of healthcare services, including emergency care, primary care, specialty clinics, and urgent care. The organization is committed to medical education and research, offering training programs, residencies, and clinical trials. Rochester Regional Health focuses on comprehensive care with emphasis on treating patients respectfully and meeting their diverse medical needs across all stages of life.

📋 Description

• Review clinical documentation and diagnostic results to extract data and apply ICD-10-CM and ICD-10-PCS codes. • Apply reimbursement methodologies to assigned charts to optimize reimbursement and resolve regulatory edits. • Resolve billing-process error reports, identify error patterns, and assist with workflow changes to reduce billing errors. • Review inpatient records to identify and assign diagnosis and procedure codes. • Meet departmental productivity guidelines with 95% accuracy consistently. • Use Care Connect, UDS, and Clintegrity to obtain ICD-10 codes and DRG assignments. • Formulate compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear. • Enter and update Present on Admission indicators, Point of Origin, Discharge Disposition, and other data. • Manage workflow edits and technical issues related to coding accounts receivable days. • Correct failed claim errors, misclassified accounts, and other audit-identified errors. • Attend required organizational, HIM department, coding team meetings, and training sessions. • Ensure timely reporting for external regulations. • Assist physicians and clinical quality staff with documentation opportunities, coding reimbursement issues, and quality improvement review processes. • Complete other duties assigned by HIM leadership.

🎯 Requirements

• One of the following coding certifications is required: CCS, CCS-P, CPC, CPC-H, CMC, RHIT, RHIA, CPC-A, or a specialty coding certification. • Candidates with an Associate degree in Health Information Management from an accredited AHIMA program must sit for the RHIT exam within 1 year of hire. • At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred. • For HOMECARE, HCS-D certification is required within 16 months of hire. • Full CPC certification must be obtained within 24 months if the employee holds CPC-A at hire. • Abide by AHIMA Standards of Ethical Coding and official coding guidelines. • Knowledge of ICD-10-CM and ICD-10-PCS. • Proficiency with Care Connect, UDS, and Clintegrity systems. • Ability to achieve 95% coding accuracy and meet departmental productivity guidelines. • Ability to formulate compliant Physician Coding Queries. • Ability to accurately enter POA indicators, Point of Origin, and Discharge Disposition. • Associate degree in Health Information Management required. • Sedentary work capability, exerting up to 10 pounds occasionally.

🏖️ Benefits

• Full-time employment • Day shift • Sedentary work accommodations considered • Equal Opportunity / Affirmative Action Employer

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