Coder – Inpatient

🕒 May 21

🗽 New York – Remote

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💵 $22 - $32 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

🏥 Medical Billing and Coding

👻 Ghost score 55%

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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 appropriate ICD-10-CM and ICD-10-PCS codes • Apply reimbursement methodologies to assigned charts to optimize reimbursement and/or resolve regulatory edits • Resolve error reports associated with the billing process • Identify and report billing error patterns • Assist in designing and implementing workflow changes to reduce billing errors • Review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS • Adhere to AHIMA ethical coding standards, official coding guidelines, and RRH/HIM policies and procedures • Meet departmental productivity standards while maintaining 95% coding accuracy • Use Care Connect, UDS, and Clintegrity systems for coding and DRG assignment • Formulate compliant physician coding queries when documentation is inadequate, ambiguous, or unclear • Enter and update coding data, including POA indicators, point of origin, and discharge disposition • Resolve workflow edits, billing errors, and coding-related claim issues • Support physicians and clinical quality staff with documentation improvement, coding reimbursement, and quality review processes

🎯 Requirements

• One of the following certifications is required: 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), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice (CPC-A), or a specialty coding certification • Associate degree in Health Information Management (AS) required • Candidate with Associate degree from an accredited American Health Information Management Association (AHIMA) are required to sit for the Registered Health Information Technician (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: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire • For grandfathered employees hired on or before September 30, 2018: 2 years of relevant work experience, specified coding certification, and Associate’s degree in Health Information Management required

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