Billing and Coding Specialist
Medical coder job in Rochester, NY
Scion Staffing has been engaged to conduct a search for a Billing and Coding Specialist for an established clinic in Rochester, NY. This position is 100% onsite at the clinic's Rochester office.
This Billing & Coding Specialist position supports daily billing operations for a high-volume clinic, handling claims, insurance follow-up, and coding for routine and interventional procedures. The role is ideal for someone with strong billing, denial management, and revenue cycle experience seeking long-term stability. This is a direct hire opportunity.
PERKS:
Competitive compensation at $30-$34/hr
Hands-on training and mentorship in interventional psychiatry billing
All equipment provided onsite
Collaborative and inclusive clinic culture
Long-term conversion opportunity with room to grow
RESPONSIBILITIES:
Process claims, manage insurance follow-up, and resolve denials
Code and submit claims for psychiatric and interventional procedures
Assist with backlog cleanup and recurring billing issue resolution
Monitor cash flow trends and escalate problem areas
Coordinate with clinicians on documentation, copays, and authorizations
Maintain accurate records in EHR and clearinghouse platforms
QUALIFICATIONS:
Experience with medical billing, coding, or RCM workflows
Knowledge of insurance portals and denial management practices
Strong attention to detail, accuracy, and problem-solving
Ability to manage high-volume billing with steady, reliable execution
Comfortable learning systems such as Jane App, ClaimMD, and clearinghouses
COMPENSATION AND BENEFITS:
This role offers $30-$34/hr, depending on experience level.
Benefits are available and may include health, dental, vision, 401(k), sick time, and additional offerings based on eligibility.
ABOUT OUR SEARCH FIRM:
Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online.
Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.
Coder
Medical coder job in Amherst, NY
Job Details EXC Amherst NY - Amherst, NY Full Time High School $23.00 - $35.64 Hourly None DayDescription
**We offer flexibility with hybrid work options based on your preference.**
The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems.
Duties and Responsibilities
Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
Collaborate with the billing team to resolve coding and reimbursement issues.
Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
Evolve in your role when performing supplemental responsibilities as assigned.
Qualifications
Requirements and Qualifications
Associates degree preferred; HS diploma or GED required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
Proven experience (1+ years) as a Coder or in a similar role required.
Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands
Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
Occasional standing and walking required
Occasional lifting and carrying items weighing up to 10 pounds.
Benefits
We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision insurance, employer paid base life, and other voluntary benefits*. Time off benefits include paid combined time off (CTO) and seven paid holidays, plus a floating holiday after one year of service. Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service. Qualified team members become eligible to participate in medical benefits on the 1st of the month following date of hire, and retirement benefits after 90 days.
We also provide professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team. We are committed to providing our employees with the resources they need to thrive both personally and professionally.
*Other voluntary benefits include Voluntary Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, Supplemental Life Insurance, and legal and identity protection and pet insurance.
Who We Are
Excelsior Orthopaedics is a multi-specialty orthopedic practice that has been providing comprehensive care since 2002. We have multiple locations throughout the Western New York region and a free-standing ambulatory surgery center, Buffalo Surgery Center. Excelsior Orthopaedics offers a suite of in-house services including general orthopaedic evaluation and treatment, podiatry, physical & occupational therapy, nutrition counseling, sports training, outreach athletic training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program. Buffalo Surgery Center provides surgical and procedural treatments for orthopaedic, pain and spine, podiatry, total joint replacement, and gastrointestinal patients. Our mission is to transform the lives of our patients by restoring function and enhancing quality of life. We are committed to innovative care that is driven by patient needs and supported by the most skilled, experienced team in Western New York.
The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions.
This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and
may have additional duties assigned as necessary.
Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.
Medical Coder - Certified
Medical coder job in Williamsville, NY
Full-time Description
We are GROWING and looking to hire Certified Medical Coders to join our team in Williamsville, NY. The positions are hybrid and require only one day in the office each week!
Roswell Park Care Network is a recognized leader in oncology and specialty care, serving community physician practices across New York State. We are committed to delivering exceptional patient care and advancing innovative treatment options.
Excellent Benefits:
Medical Coder is SIGN ON BONUS eligible!
Schedule is Monday through Friday - Hybrid Role with Only One Day In Office!
11 Holidays
Medical Insurance via Highmark Blue Cross Blue Shield
HRA - employer funded
Dental Insurance and Vision Insurance
401(k) with company match
Company paid life insurance, options for LTD, Critical Illness, Accident
Generous Vacation and Sick time
The Medical Coder is responsible for reviewing medical records to assure proper billing of the medical service, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical record. Claim denials received for coding errors, refund requests, etc., the coder is responsible to send written appeals to the insurance payer for adjudication and follow-up for payment status within the 90 day timely filing limit of the insurance payer.
Responsibilities:
Meet coding accuracy standards within 90% to 95% as well as coding productivity standards.
Coders will review, re-code and appeal denials for all specialties including Inpatient, outpatient, physician, pathology, and infusion charts, as necessary.
Review the discharge summary, history and physical, physician progress notes, consultation reports, operative records, inpatient hospital record to accurately assign a diagnosis and / or procedure.
Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-10-CM and CPT codes.
Utilize computer applications and resources essential to completing the coding process efficiently.
Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries. Including, investigating payer coding rules to complete insurance claim appeals, submitting supporting documentation, tracking, and following up accordingly to ensure claim is processed.
Assign Risk Adjustment diagnoses by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
Educates and advises staff on proper code selection, documentation, procedures, and requirements.
Identifies training needs, prepares training materials, and support staff to improve skills in the collection and coding of quality health data.
Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements.
Maintain continuing education by reviewing updated CPT guidelines and updated coding clinics.
Performs other duties as assigned
Requirements
Experience / Certification:
CPC (Certified Professional Coder) or CMC (Certified Medical Coder) required
1-3 years experience with specialty coding (e.g., Urology, ENT, Dermatology, Pulmonology, Breast health & Oncology).
Experience with EMR and billing systems, such as Medent & ONCO preferred.
Working knowledge of medical terminology, CPT, and ICD-10 coding
Familiarity with medical office procedures
Salary Description $23.00-$30.00/hour
Medical Records Coder IV, Lead
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
220 Hutchison Rd, Rochester, New York, United States of America, 14620
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URCB 209 H
Compensation Range:
$25.79 - $36.11
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
GENERAL PURPOSE
The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.
Key Functions and Expected Performances
With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment:
25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials.
25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues.
25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product.
15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff.
10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.
May perform other duties as assigned.
Qualifications:
Required:
Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience.
Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills
Preferred:
Certification in Professional Fee Coding (AAPC, AHIMA)
Strong working knowledge of the professional billing software applications
Ability to type 25 wpm.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Auto-ApplyCASAC Certified TEAP Specialist
Medical coder job in Medina, NY
Job Description
TEAP/CASAC
***MUST BE CASAC Certified ***
We are seeking a TEAP specialist who holds a CASAC certification. who will Implements and maintain an effective trainee employee assistance program (TEAP), in compliance with DOL and management directives with emphasis placed on substance abuse awareness, prevention, staff training and networking with community resources. Full or part time can be discussed during interview. Flexible schedule after training is available.
Duties include: Makes assessments of all students to determine those who might be in need of intervention due to substance use. Conducts individual and group counseling to students who in are in need of intervention .Participates in the orientation of new students during the Career Preparation Period. Ensures all students who test positive for drugs are retested within the 45 day probationary period. Provides follow-up counseling to students who have completed TEAP to encourage and prevent relapse. Provides prevention education to all student employees during all phases of the Job Corps program. Conducts in-service training sessions with both staff and students in all areas related to substance use and abuse.
Qualifications: Must have CASAC certification. State certification as a Substance Abuse Counselor. 2 years of experience in work related field. Ability to design, develop and implement a program related to alcohol and other drugs of abuse and intervention. Proficient in training staff and students on the signs, symptoms and early identification of alcohol and other drug use and abuse, and the disease of alcoholism and drug dependency. Demonstrated ability to assess students' need for inpatient/outpatient substance abuse treatment and, when appropriate, coordinates access to these services. Demonstrated ability to assist students receiving drug and alcohol treatment in developing and maintaining social support networks, and self-help support groups. Proven track record of developing trusting relationships to enhance successful substance abuse outcomes, by educational, behavioral, and motivational interventions. The candidate must possess a valid driver's license with an acceptable driving record
Why Job Corps? Imagine a career where your success is measured by the progress of those you serve: aspiring young students. You can inspire others to realize their full potential, achieve their goals and make the most of their abilities at Iroquois Job Corps. Our team is committed to making a difference, one amazing student at a time. We invite you to do the same in this exciting role.
What is Job Corps? It is the country's most extensive nationwide residential career training program and has been operating for over 50 years. The program helps eligible young people ages 16 through 24 complete their high school education, trains them for meaningful careers, and assists them with obtaining employment. Job Corps has trained and educated over two million individuals since 1964.
Iroquois Job Corps offers training in the medical trades (Certified Nursing Assistant and Certified Medical Assistant), Bricklaying, Carpentry, Electrical and Paint.
Benefits include: Low Cost Premiums for Medical Coverage (Employee only) and reduced rates for Family Coverages, Dental, Vision, Additional Life Insurance, and Other Add-Ons
Paid vacation and sick (2 weeks each), 12 Paid Holidays (Thanksgiving and Christmas are two-day holidays), Short Term Disability, 401K Retirement Plan, Employee Assistance Plan, free access to our Weight Room and Cardio Rooms, low-cost meals daily from our dining hall ($2.00 per meal)
Iroquois Job Corps provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status a victim of domestic violence, or any other status protected by law
Medical Records Coder IV, Lead
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
220 Hutchison Rd, Rochester, New York, United States of America, 14620
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URCB 209 H
Compensation Range:
$25.79 - $36.11
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.
**Key Functions and Expected Performances**
With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment:
+ 25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials.
+ 25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues.
+ 25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product.
+ 15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff.
+ 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.
May perform other duties as assigned.
**Qualifications:**
Required:
+ Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience.
+ Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required
+ Excellent problem-solving skills
+ Excellent communication skills
+ Excellent customer service skills
Preferred:
+ Certification in Professional Fee Coding (AAPC, AHIMA)
+ Strong working knowledge of the professional billing software applications
+ Ability to type 25 wpm.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
Medical Records Coordinator
Medical coder job in Rochester, NY
We consider many different factors to determine your compensation package at FSL. We assess your specific job family, level, relevant skills, experience, and other special trainings, or accomplishments you bring to the position. Pay decisions are also guided by our financial means as well as analyzed against what others earn internally. We strive to pay competitively and offer market differentiated benefits and perquisites in line with our compensation philosophy. The salary range is a reflection of many similar like positions and your actual compensation may not be at the high or low end of the range but will be based on your unique skills and other criteria mentioned. FSL is committed to offering each individual an elevated employee experience through growth and learning opportunities in addition to an inclusive work culture coupled with other perquisites.
Position Summary
The Medical Records Coordinator performs medical record duties. Maintains medical records in accordance with federal and state guidelines. Oversees Unit Secretary Staff in responsibilities related to the medical records. Support Culture of Excellence through active role with assigned neighborhood initiatives.
Essential Job Functions:
Assists Director of Health Services in organizing, planning and directing the medical records responsibilities in accordance with established policies and procedures.
Maintains CONFIDENTIALITY of all pertinent Member care information to assure Member rights are protected.
Adheres to all HIPPA requirements.
Follows established policies and procedures for medical records.
Codes and enters diagnoses into PCC from hospital system/admission paperwork
Need to code acute visits and regulatory visits within 48 hours for MDS
Resolve acute diagnosis that are no longer active
Keeps unit secretaries updated of any code changes pertaining to maintaining the medical record.
Request immunizations records from previous PCP/Nursing Home
Assures that records, files, etc., are properly stored and maintained for specified time frames by CMS.
Submits documentation for insurance audits and appeals/Livanta
Submits medical record information to insurance companies as requested.
Maintains ongoing record of admissions, discharges and transfers.
Audits discharge information for completion.
Conduct audits for quality improvement initiatives
Pushes weekly physician renewals and upon admission.
Review chart for completeness post discharge date
Destroys medical records according to policy.
Copies record when authorized by Member according to policy.
Responsible for updating the New York State Code book with new information provided.
Provides backup for Health Services Secretary and performs such duties as typing, copying, filing and answering the phone as requested.
Participates in In-service education and safety programs.
Performs other duties as requested by Director of Health Services or Administration from time to time.
Expectations of the Position:
Dependable, report to work on-time for every schedule shift (ready to work at beginning - start of shift) and work full schedule shifts unless physically unable or pre-approved Paid Time Off (PTO) which includes personal and vacation.
Willing and able to work overtime and weekends as required by the position and/or approved by management.
Have reliable transportation to and from work.
Must be clean and neat in appearance and have a “friendly” service-oriented demeanor and supports Culture of Excellence initiatives by interactions with co-workers and/or Members.
Abide by work-related / job procedures and organization policies; (refer to the Employee Handbook).
Qualifications of the Position:
Experience: AAS-RHIT/CCS/CPC required, 2 years of experience working with medical records.
PCC, overall EHR and SNF experience preferred
High level computer, coding and analytical skills
Ability to organize.
Good interpersonal skills and ability to work well with a variety of staff and outside contacts.
Conditions of Employment: Work is performed in a clean, well lit, “Home-Like,” nursing Home setting.
Employee must be able to perform essential job functions (reasonable accommodation may apply).
Physical Requirements
Refer to Physical Requirements form.
Must meet the general health requirements set forth by Friendly Home.
May be requested to assist in the evacuation of Members or perform other procedures to protect the safety of Members, visitors and team members during emergency situations.
NOTE: This is not intended to be all-inclusive and very effort has been made to identify the essential functions of the above position. However, this in no way states or implies that the duties specifically identified are the only duties required to perform this position. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Employees may perform other related duties within Federal and/or State regulations to meet the ongoing needs of the organization. This is not a guarantee of employment for any set period and that either the organization or employee may terminate employment at any time with or without case. Furthermore, this job description may be added to or revised at any time.
Part-Time HIM Clerk
Medical coder job in Rochester, NY
Throughout its history, three values - work, wellness, and independence - have remained at the core of Rochester Rehabilitation. Working with a $7 million annual operating budget, the agency serves 2,500 people in the Greater Rochester area living with disabilities, behavioral health issues, and other disadvantages.
Job Description
The Health Information Management Clerk maintains organization and management of confidential medical records system in compliance with health care standards and Office of Mental Health regulations.
Key Functions:
Prepares client medical records for screen admit, program admit and discharge
.
Maintains databases and client information management systems for Mental Health programs.
Files documentation into active and inactive medical records on a timely basis.
Assures all documentation is maintained in correct sequence according to the organized structure of the chart.
Supports clinical staff related to management of the medical record and medical record processes.
Processes treatment plans.
Runs reports from Excel spreadsheets and Access database.
Enters diagnosis code in electronic records.
Distributes medical records to clinicians in accordance with scheduled appointments.
Composes and prepares correspondence requests both internal external.
Receives and processes requests for information for clients.
Adheres to Company policies and procedures to include being aware of the importance of Corporate Compliance Policies and the Code of Conduct.
Responsible for maintaining required certifications and licenses.
Other duties as assigned.
Qualifications
Vocational/Technical/Business school graduate with one to three years' experience in a Health Information Management department or medical office setting.
Maintains client confidentiality.
Computer-based scheduling and patient information experience.
Experience with Microsoft Word, Excel and Access.
Strong oral and written communication skills
Physical Requirements:
• Frequent sitting, standing, stooping, reaching, handling and lifting less than 20 lbs.
Additional Information
To be considered for the position, please complete an online application at the link below:
************************** seekers. Should you experience difficulties, try clearing out your browsing history, cookies, and cache in your browser and try again.
Our Agencies do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender identity/expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.
Medical Records Clerk
Medical coder job in West Seneca, NY
Medical Records
Rate: $16/hr.
Shift:
The McGuire Group's Seneca Health Care Facility in West Seneca, NY has an exciting opportunity for a full-time Medical Records Clerk for our day shift to join our caring and knowledgeable team. Do you have a passion for helping others? Are you looking to work in an exciting and rewarding team environment that lends the opportunity to give back to our community? If so, we want to hear from you!
ABOUT THE POSITION:
The successful candidate will have a variety of duties, including but not limited to:
Responsibilities:
Demonstrate knowledge of age-specific developmental factors specific to adult and geriatric residents about medical records duties in the Nursing Department.
Set up residents' medical records; collects information from nursing staff, physicians, and other sources and update records.
Monitor and audit records for completeness and accuracy.
Responsible for compiling, process & accurately accounting for all medical records on each resident
Verify the accuracy and accessibility of files
Maintain electronic health records databases
Release necessary information to persons and agencies according to regulations.
Prepare the necessary MD paperwork, schedule outside MD visits, and update the MD/NP Visits calendar.
Processes transfer or discharge records and maintains appropriate records on former residents.
Adds physician's orders, lab results, and department reports to the medical records.
Copies Medical Records for Business Office on request for Third Party Payer.
Transcribes reports and maintains reports in Medical records.
Process the following, as required:
Lab requests
QA calendars/ minutes
Door tags
Resident tags/bands
Standard Units of measure
Census
Maintain quality and accurate records by following McGuire policies and procedures.
Qualifications:
High School Diploma or GED required; Associate's Degree in related field preferred
Prior medical records experience in the health field, skilled nursing required.
Minimum of two years' experience in a similar role preferred.
Benefits:
Weekly Paychecks
Health, Dental, Life Insurance
Referral Bonus
Retirement/Pension/401k
Flexible Schedules
Medicare Member Engagement Specialist (Bilingual Spanish, Chinese, Korean preferred)
Medical coder job in Rochester, NY
Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.
Knowledge/Skills/Abilities
* Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
* Serve as the member's navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member's area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions.
* Log all contacts in a database.
* Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
* Participates in regular member benefits training with health plan, including the member advocate/engagement role.
Job Qualifications
REQUIRED EDUCATION:
High School diploma.
REQUIRED EXPERIENCE:
2 years experience in customer service, consumer advocacy, and/or health care systems. Experience
conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.
PREFERRED EDUCATION:
Associate's or Bachelor's Degree in Social Work, Human Services, or related field.
PREFERRED EXPERIENCE:
Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $34.88 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Assistant Surgical Coordinator
Medical coder job in Gainesville, NY
WHO WE ARE LOOKING FOR
Spectrum Vision Partners (SVP) and OCLI Vision (OCLI) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time. We want to build a great team that helps us focus on delivering exceptional eye care: the kind of team people want to be a part of, and the kind of team we can't live without. We want to learn more about you and the kind of team culture you can help us create. We're interested in your relevant skills and what you can do. We're even more interested in your positive attitude and flexible mindset! We promote from within and offer medical, dental and vision coverage with a matching 401K and generous PTO!
THE OPPORTUNITY AT HAND
We are looking for passionate and empathetic people to join our team as Assistant Surgical Coordinators. Our Assistant Surgical Coordinators are responsible for ensuring that patients? surgeries are authorized and that records are complete and accurate. This includes contacting insurance companies, verifying patient information, and cross-training in other related areas. You will play a vital role in the patients experience with OCLI and in helping our doctors to diagnose and treat eye disorders.
OUR EXPECTATIONS OF YOU
Ensures that all authorizations and pre-certifications are obtained to expedite reimbursement.
Contacts insurance companies via telephone, facsimile, and computer; Exchanges all correspondence necessary to authorize surgery. Maintains current knowledge of insurance company requirements, medical terminology, and diagnosis and procedure codes.
Verifies patient information as appropriate and obtains any missing information.
Reviews record and physician forms for completeness.
Coordinates surgery related paperwork and authorization information with the appropriate ASC or Hospital, and the Central Business Office. Communicates to all involved parties any unusual circumstances involving patient insurance benefits, coverages, or requirements.
Cross trains into other areas; including front desk and serves as primary back-up for Surgical Coordinator.
Always maintains professional demeanor with patients, physicians, and co-workers.
Observes strict patient confidentiality.
WHAT YOU'LL NEED TO SUCCEED
You are an excellent communicator - both verbally and written.
You are outgoing, you love the idea of interacting with patients every day.
You are comfortable providing white glove service and responding quickly to our patient's needs.
You are a dependable problem solver - You're the one people call to keep cool in stressful situations.
You have a positive, can-do attitude and work well in collaborative environments.
You're flexible - you roll with the punches and easily accept change.
You're knowledgeable in ocular pharmacology such as anesthetics, steroids, antibiotics, mydriatics and cycloplegics, epinephrine, miotics and non-steroidal anti-inflammatories is a PLUS, but not a requirement.
While performing the duties of this Job, the employee is regularly required to stand; walk and use hands to finger, handle, or feel. The employee is frequently required to sit. The employee must occasionally lift and/or move up to 10 pounds.
WHO WE ARE
Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we are also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime.
With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-Center, New Vision Cataract Center, AIO, and others.
At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all our team members to uphold these commitments.
Auto-ApplyGastroenterology Coder (GI)
Medical coder job in Amherst, NY
Job Details EXC Amherst NY - Amherst, NY Full Time High School $23.00 - $35.64 Hourly None DayDescription
**We offer flexibility with hybrid work options based on your preference.**
We are seeking a detail-oriented and experienced Medical Coder to support our Endoscopy Ambulatory Surgery Center (ASC). This position is responsible for accurate assignment of CPT, ICD-10-CM, and HCPCS Level II codes for GI endoscopic procedures, including EGD, colonoscopy, polypectomy, biopsy, and advanced endoscopic services such as EMR/ESD. The ideal candidate brings strong knowledge of GI endoscopy coding, ASC reimbursement guidelines, and payer regulations.
Duties and Responsibilities
Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for endoscopy services, including office visits, imaging, and surgical procedures.
Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
Collaborate with the billing team to resolve coding and reimbursement issues.
Stay current with coding guidelines, endoscopy-specific regulations, and payer updates.
Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
Evolve in your role when performing supplemental responsibilities as assigned.
Qualifications
Requirements and Qualifications
Associates degree preferred; HS diploma or GED required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
Certified Gastroenterology Coding Certification (CGIS) is a plus.
Proven experience (1+ years) as a Coder or in a similar role required.
Ambulatory Surgery Center (ASC) coding experience a plus.
Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
Knowledge of endoscopy medical terminology is desirable.
Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands
Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
Occasional standing and walking required
Occasional lifting and carrying items weighing up to 10 pounds.
Benefits
We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision insurance, employer paid base life, and other voluntary benefits*. Time off benefits include paid combined time off (CTO) and seven paid holidays, plus a floating holiday after one year of service. Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service. Qualified team members become eligible to participate in medical benefits on the 1st of the month following date of hire, and retirement benefits after 90 days.
We also provide professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team. We are committed to providing our employees with the resources they need to thrive both personally and professionally.
*Other voluntary benefits include Voluntary Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, Supplemental Life Insurance, and legal and identity protection and pet insurance.
Who We Are
Excelsior Orthopaedics is a multi-specialty orthopedic practice that has been providing comprehensive care since 2002. We have multiple locations throughout the Western New York region and a free-standing ambulatory surgery center, Buffalo Surgery Center. Excelsior Orthopaedics offers a suite of in-house services including general orthopaedic evaluation and treatment, podiatry, physical & occupational therapy, nutrition counseling, sports training, outreach athletic training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program. Buffalo Surgery Center provides surgical and procedural treatments for orthopaedic, pain and spine, podiatry, total joint replacement, and gastrointestinal patients. Our mission is to transform the lives of our patients by restoring function and enhancing quality of life. We are committed to innovative care that is driven by patient needs and supported by the most skilled, experienced team in Western New York.
The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions.
This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and
may have additional duties assigned as necessary.
Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.
Medical Records Coder IV, Lead
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
220 Hutchison Rd, Rochester, New York, United States of America, 14620
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URCB 209 H
Compensation Range:
$25.79 - $36.11
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.
Key Functions and Expected Performances
With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment:
25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials.
25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues.
25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product.
15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff.
10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.
May perform other duties as assigned.
Qualifications:
Required:
- Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience. Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required
- Excellent problem-solving skills
- Excellent communication skills
- Excellent customer service skills
Preferred:
- Certification in Professional Fee Coding (AAPC, AHIMA)
- Strong working knowledge of the professional billing software applications
- Ability to type 25 wpm.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Auto-ApplyTumor Registrar, Cancer Center
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
90 Crittenden Blvd, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype:
Regular
Time Type:
Time as Reported / Per Diem
Scheduled Weekly Hours:
As Scheduled
Department:
500055 SMH Hematology/Oncology
Work Shift:
UR - Day (United States of America)
Range:
UR URC 208 H
Compensation Range:
$23.52 - $32.92
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
As a New York State certified cancer center at the James P. Wilmot Cancer Center, the Tumor Registrar is responsible for coordinating and maintaining an effective system to register and follow patients with a diagnosis of malignancy. Duties include retrieving and analyzing cancer patient registry data for future optimal cancer program planning and research within the community in accordance with the requirements of the American College of Surgeons (ACOS) Commission on Cancer and the NYS Department of Health (NYSDOH).
- Develops and maintains thorough system to identify and incorporate all mandatory cases into the cancer registry including reportable list of diagnoses. Must have thorough understanding of inclusion/exclusion criteria of the registry as required by ACOS & NYSDOH.
- Abstracts cases with all required data as outlined by ACOS manual and NYS Facility Reporting Manual. Utilizes multiple sources when analyzing patient information to ensure accurate data abstracting. Fully understands and assigns proper medical diagnosis and stage of cancer, records treatment plans, and assigns medical coding according to the ICD-O-3 classification system. Enters all abstracted data into Oncology database.
- Uses a variety of methods to research and record follow up of all cancer patients for their lifetime as required by ACOS. Maintains a system to ensure annual follow up of all cancer registry patients and resolves delinquent cases.
- Ensures various quality assurance measures by maintaining follow up rates for all eligible patients. Selects random cases for quality assurance reviews.
- Provides ad-hoc statistical reports to administration and physicians. Assists with Quality Improvement studies that measure quality and outcomes of patient registry.
- Attends multidisciplinary Oncology conferences, workshops, training & educational sessions to maintain Certified Tumor Registrar (CTR) credentials.
- Performs other duties as assigned.
QUALIFICATIONS:
Associates degree in Health Information Technology with Registered Health Information Technician (RHIT) credential preferred and 2 years experience in cancer registry or related health information experience; or equivalent combination of education and experience.
Successful completion and continued educational maintenance as Certified Tumor Registrar.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Auto-ApplyMedicare Member Engagement Specialist (Bilingual Spanish, Chinese, Korean preferred)
Medical coder job in Rochester, NY
Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.
**Knowledge/Skills/Abilities**
+ Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
+ Serve as the member's navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member's area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions.
+ Log all contacts in a database.
+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
+ Participates in regular member benefits training with health plan, including the member advocate/engagement role.
**Job Qualifications**
**REQUIRED EDUCATION:**
High School diploma.
**REQUIRED EXPERIENCE:**
2 years experience in customer service, consumer advocacy, and/or health care systems. Experience
conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.
**PREFERRED EDUCATION:**
Associate's or Bachelor's Degree in Social Work, Human Services, or related field.
**PREFERRED EXPERIENCE:**
Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Med Records Coder III, Complex
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 107 H
Compensation Range:
$23.06 - $32.29
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
**ESSENTIAL FUNCTIONS**
+ Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
+ Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
+ Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
+ Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
+ Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and 2 years of experience as a medical coder required
+ Associate's degree preferred
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC required
+ Working knowledge of medical terminology and anatomy required
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
Medical Records Coder III, Complex
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 107 H
Compensation Range:
$23.06 - $32.29
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
The Medical Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
JOB DUTIES AND RESPONSIBILITIES:
- Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
- Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
- Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
- Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
- Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
QUALIFICATIONS:
- HS Diploma
- Associates degree in Health Information Technology or health related field
- 2 years' experience as Medical Coder required
- Additional coding experience in area of assignment preferred
- or equivalent combination of education and experience required
- Knowledge of ICD-10CM, CPT and HCPSC required
- Working knowledge of medical terminology and anatomy required
- Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred.
- Or
- Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Auto-ApplyMed Records Coder III, Complex
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 107 H
Compensation Range:
$23.06 - $32.29
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
ESSENTIAL FUNCTIONS
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
High School diploma or equivalent and 2 years of experience as a medical coder required
Associate's degree preferred
Or equivalent combination of education and experience
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required
LICENSES AND CERTIFICATIONS
American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or
Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Auto-ApplyMed Records Coder III
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE:
Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.
**ESSENTIAL FUNCTIONS**
+ Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
+ Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up.
+ May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
+ Responds to coding information requests and inquiries from various sources.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and 1-year Medical Coder experience required
+ Associate's degree preferred
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC required
+ Working knowledge of medical terminology and anatomy required
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
Med Records Coder III
Medical coder job in Rochester, NY
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
The Med Records Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
**ESSENTIAL FUNCTIONS**
+ Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
+ Reviews and resolves coding denials.
+ Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
+ Abstracts data and reviews codes for accuracy.
+ Performs system edit checks and corrects errors as needed.
+ Responds to coding information requests from various sources.
+ Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned
**MINIMUM EDUCATION & EXPERIENCE**
HS Diploma Required
+ Associates degree in Health Information Technology or health related field Preferred
+ 1 years' experience as Medical Coder Required
+ Additional coding experience in area of assignment Preferred
+ Or equivalent combination of education and experience Required
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC Required
+ Working knowledge of medical terminology and anatomy Required
**LICENSES AND CERTIFICATIONS**
+ Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). Preferred
+ Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute. Preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.