Coder – Outpatient

🔥 19 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $20 - $28 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

🏥 Medical Billing and Coding

👻 Ghost score 0%

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Rochester Regional Health

WebsiteLinkedInAll Job Openings

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 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. • Utilize Care Connect, UDS, and Clintegrity systems to obtain ICD-10 codes and DRG assignments. • Formulate compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear. • Correct failed claim errors, billing edits, misclassified accounts, and other audit-identified errors. • Assist physicians and clinical quality staff with documentation opportunities, coding reimbursement issues, and quality improvement review.

🎯 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. • Candidates with an 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. • 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. • For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire. • Grandfather Clause: If hired on or before September 30, 2018, 2 years of relevant work experience and one of the listed coding certification credentials and Associate’s degree in Health Information Management are required. • AS: Health Information Management (Required). • Proficiency with Care Connect, UDS, and Clintegrity systems. • Knowledge of ICD-10-CM and ICD-10-PCS coding, reimbursement methodologies, official coding guidelines, and AHIMA Standards of Ethical Coding. • Ability to meet departmental productivity guidelines with 95% accuracy. • Ability to formulate compliant Physician Coding Queries. • Sedentary work capabilities, including prolonged sitting and computer-based fine motor work.