Health Information Coder jobs at Northwell Health - 23 jobs

Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process. 8.Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment. 9.Assigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets. 11.Assigns appropriate discharge physician in the system. 12.Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations. 13.Demonstrates basic knowledge of the impact of coding decisions on revenue cycle. 14.Assists in the education of physicians and other clinicians by advocating proper documentation practices, further specificity, resequencing and inclusion of diagnoses or procedures when needed to more accurately reflect the acuity, severity of illness and risk of mortality as indicated. 15.Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. 16.Completes moderately complex assignments that require an ability to recognize the need to occasionally deviate from accepted practices. 17.Exercises independent judgment on basic or moderately complex issues regarding job and related tasks. 18.Works independently under minimal supervision within established guidelines and procedures. 19.Requires minimal instruction on day-to-day work; majority of work is self-directed; receives instruction on new assignments. 20.Works with lead on resolution of day-to-day technical/procedural challenges. 21.May provide work guidance to team members to ensure accurate and timely completion of tasks. 22.Performs related duties, as required. *ADA Essential Functions Job Qualification + High School Diploma or equivalent required. + 3 - 5 years of technical experience, required. + One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP) or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) or RHIA or RHIT certification. + Inpatient facility coding experience, preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $66220.05-$108179.96/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. **Qualifications** **Education Requirements** Coding certificate, CCA. CCS (inpatient) or CCS-P (outpatient) certification preferred. **Experience Requirements** Minimum of 2 years inpatient/outpatient coding experience in acute tertiary care hospital Proficiency in the use of automated coding and DRG/AOC grouping software. **Licensing and Certification Requirements (if applicable)** Name: Certified Coding Specialist (CCS) Issuing Agency: American Academy of Professional Coders (AAPC) Collective bargaining unit: SEIU 1199-MSH SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital **Responsibilities** 1.Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures. 2.Queries physicians for clarification of documentation if required. 3.Participates in the documentation improvement process on conjunction with Coding management and leadership. 4.Consistently meets or exceeds coding productivity standards as per department policies. 5.Ensures compliance with CMS and other regulatory compliance guidelines. 6.Participates in continuing education opportunities as set forth by Coding leadership. Acquires continuing education hours to maintain certification(s). 7.Promotes and contributes to the collaboration between HIM in a positive manner and serves as mentors to junior coding staff. 8.Other responsibilities as required. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. **Equal Opportunity Employer** The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. **Compensation Statement** Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $39.877 - $39.877 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. Education Requirements Coding certificate, CCA. CCS (inpatient) or CCS-P (outpatient) certification preferred. Experience Requirements Minimum of 2 years inpatient/outpatient coding experience in acute tertiary care hospital Proficiency in the use of automated coding and DRG/AOC grouping software. Licensing and Certification Requirements (if applicable) Name: Certified Coding Specialist (CCS) Issuing Agency: American Academy of Professional Coders (AAPC) Collective bargaining unit: SEIU 1199-MSH SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital 1.Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures. 2.Queries physicians for clarification of documentation if required. 3.Participates in the documentation improvement process on conjunction with Coding management and leadership. 4.Consistently meets or exceeds coding productivity standards as per department policies. 5.Ensures compliance with CMS and other regulatory compliance guidelines. 6.Participates in continuing education opportunities as set forth by Coding leadership. Acquires continuing education hours to maintain certification(s). 7.Promotes and contributes to the collaboration between HIM in a positive manner and serves as mentors to junior coding staff. 8.Other responsibilities as required.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. Comply with comprehensive internal coding policies and procedures that are consistent with requirements. Attends coding meetings and roundtable sessions. Participates in daily huddles and LEAN problem-solving activities. Focused with no distractions while working and participating in meetings. Ensures camera on while attending Teams calls. Assists with organizing the shared drive for the medical coding department. Other duties as assigned by manager. Qualifications High School Diploma/G.E.D. - required Prior experience in hospital medical coding - preferred Prior experience with 3M 360 and EPIC system - preferred Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) Excellent written and verbal communication skills. (High proficiency) Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) Detail-oriented and efficient while maintaining productivity. Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Frequently Hearing - Frequently Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. Comply with comprehensive internal coding policies and procedures that are consistent with requirements. Attends coding meetings and roundtable sessions. Participates in daily huddles and LEAN problem-solving activities. Focused with no distractions while working and participating in meetings. Ensures camera on while attending Teams calls. Assists with organizing the shared drive for the medical coding department. Other duties as assigned by manager. Qualifications High School Diploma/G.E.D. - required Prior experience in hospital medical coding - preferred Prior experience with 3M 360 and EPIC system - preferred Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) Excellent written and verbal communication skills. (High proficiency) Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) Detail-oriented and efficient while maintaining productivity. Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Frequently Hearing - Frequently Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities * Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. * Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. * Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. * Comply with comprehensive internal coding policies and procedures that are consistent with requirements. * Attends coding meetings and roundtable sessions. * Participates in daily huddles and LEAN problem-solving activities. * Focused with no distractions while working and participating in meetings. * Ensures camera on while attending Teams calls. * Assists with organizing the shared drive for the medical coding department. * Other duties as assigned by manager. Qualifications * High School Diploma/G.E.D. - required * Prior experience in hospital medical coding - preferred * Prior experience with 3M 360 and EPIC system - preferred * Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) * Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) * Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) * Excellent written and verbal communication skills. (High proficiency) * Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) * Detail-oriented and efficient while maintaining productivity. * Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. * Experience Preferred: Successful completion of a coding certificate program with AHIMA approval status preferred. * Education Required: Associate degree or equivalent training acquired through at least three years on-the-job experience. * Certification is required within one year of hire; acceptable certifications for this position include: * American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA * American Academy of Professional Coders (AAPC). Knowledge, Skills and Abilities: Knowledge of: * Coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings. * Extensive knowledge of anatomy and medical terminology. * Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry. * Regulatory requirements pertaining to healthcare operations in the practice and hospital settings. * ICD-9-CM (Vol 1, 2, and 3) Official Coding Guidelines. * ICD-10-CM Official Coding Guidelines. * ICD-10-PCS Official Coding Guidelines. * CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical Coding, and the use of Modifiers. * Data management techniques. Skills: * Advanced Computer skills, PC experience w/ Windows-based applications. * Communication skills including strong verbal, written, and interpersonal skills. * Keyboarding skills with ability to type 40 wpm minimum. Ability to: * Analyze complex medical records and identify billable services. * Work with individuals at all levels within the organization and the community; effectively communicate with providers. * Manage and prioritize workloads to meet deadlines. * Research coding questions. * Gather, review and compile information and prepare reports, often with deadlines. * Maintain quality and compliance standards. * Maintain confidentiality of information. * Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy standards. * The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. * Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. * Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. * Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. The coder assists in coordination of the compilation of data relative to regulatory agencies and the accreditation process. * Review all charges, ensure accurate charge capture and review medical necessity for all ordered tests/procedures. * Perform coding and charge capture for facility services including but not limited to emergency department and IV services. Charge capture may include providers' services. * Monitor coding work queues for simple visit coding including rehabilitation services. * Proactively communicate with physicians and physician's offices to insure adequate documentation to support ordered services. * Verify accuracy of patient account/type and demographic data and coordinates with patient financial services to assure accurate billing/reimbursement and reporting. * The coder displays initiative and supports continuous quality improvement efforts. He/she performs special projects, training, education, and/or other duties as assigned. * Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact code selection and resulting DRG groups. * Monitor unbilled account reports for outstanding or uncoded discharges. * Reviews bills and payments to insure correct billing and reimbursement. * Audits, corrects, and submits any denials as appropriate. Possess knowledge and understanding of discharge, not final billed (DNFB) parameters. * Abstracts data for special projects and quality initiatives * Effectively uses of software to follow through on accuracy of claim submission. * Effectively communicates with patient financial services to resolve coding and billing questions or concerns.

Applicants must reside in Connecticut, Massachusetts, or New York, or willing to relocate. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG coder creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. The coder assists in coordination of the compilation of data relative to regulatory agencies and the accreditation process. Review all charges, ensure accurate charge capture and review medical necessity for all ordered tests/procedures. Perform coding and charge capture for facility services including but not limited to emergency department and IV services. Charge capture may include providers' services. Monitor coding work queues for simple visit coding including rehabilitation services. Proactively communicate with physicians and physician's offices to insure adequate documentation to support ordered services. Verify accuracy of patient account/type and demographic data and coordinates with patient financial services to assure accurate billing/reimbursement and reporting. The coder displays initiative and supports continuous quality improvement efforts. He/she performs special projects, training, education, and/or other duties as assigned. Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact code selection and resulting DRG groups. Monitor unbilled account reports for outstanding or uncoded discharges. Reviews bills and payments to insure correct billing and reimbursement. Audits, corrects, and submits any denials as appropriate. Possess knowledge and understanding of discharge, not final billed (DNFB) parameters. Abstracts data for special projects and quality initiatives Effectively uses of software to follow through on accuracy of claim submission. Effectively communicates with patient financial services to resolve coding and billing questions or concerns. Qualifications Experience Preferred: Successful completion of a coding certificate program with AHIMA approval status preferred. Education Required: Associate degree or equivalent training acquired through at least three years on-the-job experience. Certification is required within one year of hire; acceptable certifications for this position include: American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA American Academy of Professional Coders (AAPC). Knowledge, Skills and Abilities: Knowledge of: Coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings. Extensive knowledge of anatomy and medical terminology. Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry. Regulatory requirements pertaining to healthcare operations in the practice and hospital settings. ICD-9-CM (Vol 1, 2, and 3) Official Coding Guidelines. ICD-10-CM Official Coding Guidelines. ICD-10-PCS Official Coding Guidelines. CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical Coding, and the use of Modifiers. Data management techniques. Skills: Advanced Computer skills, PC experience w/ Windows-based applications. Communication skills including strong verbal, written, and interpersonal skills. Keyboarding skills with ability to type 40 wpm minimum. Ability to: Analyze complex medical records and identify billable services. Work with individuals at all levels within the organization and the community; effectively communicate with providers. Manage and prioritize workloads to meet deadlines. Research coding questions. Gather, review and compile information and prepare reports, often with deadlines. Maintain quality and compliance standards. Maintain confidentiality of information. Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy standards.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. Understands the hospital inpatient/outpatient and CBO billing and registration systems. Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. Assist leadership in team collaboration, leading meetings and onboarding new staff. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. Provides feedback to coding staff on quality scores. Communicates with management when trends or concerns arise regarding poor quality. Schedules calls and is available for coding staff when they have questions related to coding. Leads a morning huddle one week each quarter in a 12-month calendar year. Communicates to Coding Support Specialist on topics for monthly meetings. Research new coding clinics, guidelines, and concepts and provides education to staff. Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Research coding forums and coding issues related to registration status. Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. Assists with organizing the shared drive for the medical coding department. Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. Actively participates in discussions and projects to improve turnaround time for coding. Participates in daily huddles and LEAN problem-solving activities. Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. Connect with coders when necessary. Being a mentor and guide to their success. Qualifications High School Diploma/G.E.D. - required Associate's Degree In Health Information Management or related program - preferred 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required Experience with 3M 360 and EPIC - preferred Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) Coding certification / credential through AHIMA or AAPC and be in good standing - required RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Frequently Hearing - Frequently Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities * Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. * Understands the hospital inpatient/outpatient and CBO billing and registration systems. * Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. * Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. * Assist leadership in team collaboration, leading meetings and onboarding new staff. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. * Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. * Provides feedback to coding staff on quality scores. * Communicates with management when trends or concerns arise regarding poor quality. * Schedules calls and is available for coding staff when they have questions related to coding. * Leads a morning huddle one week each quarter in a 12-month calendar year. * Communicates to Coding Support Specialist on topics for monthly meetings. * Research new coding clinics, guidelines, and concepts and provides education to staff. * Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Research coding forums and coding issues related to registration status. * Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. * Assists with organizing the shared drive for the medical coding department. * Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. * Actively participates in discussions and projects to improve turnaround time for coding. * Participates in daily huddles and LEAN problem-solving activities. * Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. * Connect with coders when necessary. Being a mentor and guide to their success. Qualifications * High School Diploma/G.E.D. - required * Associate's Degree In Health Information Management or related program - preferred * 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required * 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required * Experience with 3M 360 and EPIC - preferred * Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) * Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) * Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) * Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) * Coding certification / credential through AHIMA or AAPC and be in good standing - required * RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and Responsibilities * Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. * Understands the hospital inpatient/outpatient and CBO billing and registration systems. * Assist with educating providers, clinicians, and others by advocating proper documentation practices and further specificity for both diagnoses and procedures when needed to more precisely reflect the acuity, severity, and the occurrence of events. Bring to the attention of the organization management any identified inappropriate coding practices that do not comply with requirements. * Assist in problem solving processes and workgroups, including participating in the development of query policies that support documentation improvement and meet regulatory, legal, and ethical standards for coding and reporting. * Assist leadership in team collaboration, leading meetings and onboarding new staff. * Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. * Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. * Query and/or consult as needed with the provider for clarification and additional documentation prior to final code assignment in accordance with acceptable healthcare industry practices. * Provides feedback to coding staff on quality scores. * Communicates with management when trends or concerns arise regarding poor quality. * Schedules calls and is available for coding staff when they have questions related to coding. * Leads a morning huddle one week each quarter in a 12-month calendar year. * Communicates to Coding Support Specialist on topics for monthly meetings. * Research new coding clinics, guidelines, and concepts and provides education to staff. * Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. * Research coding forums and coding issues related to registration status. * Works with a multitude of software systems at once, navigating efficiently between them. These systems include Meditech, Soarian Clinicals and Financials, 3M HDM and 360, Outlook, MS Teams, Word, Outlook, Excel, Glens Falls Hospital Citrix, Saratoga Hospital Citrix. * Assists with organizing the shared drive for the medical coding department. * Assist in development and compliance of comprehensive internal coding policies and procedures that are consistent with requirements. * Actively participates in discussions and projects to improve turnaround time for coding. * Participates in daily huddles and LEAN problem-solving activities. * Demonstrates change-leadership skills. Supporting the collaboration of coders to improve inefficiencies and solve problems. * Connect with coders when necessary. Being a mentor and guide to their success. Qualifications * High School Diploma/G.E.D. - required * Associate's Degree In Health Information Management or related program - preferred * 1-3 years Experience in a leadership, supervision, or code auditing position providing quality feedback to staff. - required * 2 or more years of experience coding ICD-10-CM/PCS and/or CPT coding. - required * Experience with 3M 360 and EPIC - preferred * Applicants must receive a minimum score of 85% on a coding assessment. (High proficiency) * Expert level with reading a medical record to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data elements for billing and reporting, and assign DRG, APC, and APG as appropriate. (High proficiency) * Highly skilled in team development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) * Ability to work independently and effectively with a team. Knowledge in revenue cycle operations. (High proficiency) * Coding certification / credential through AHIMA or AAPC and be in good standing - required * RHIT / RHIA - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Frequently * Hearing - Frequently * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

The Health Information Associate is responsible for performing clerical duties in various units within the department. The primary functions include but are not limited to sorting and scanning loose reports, manual upload to the medical center's imaged documents repository of documents scanned by outside vendors and the quality review of scanned images. Education Requirements High School Diploma / GED required. Associate degree in health information technology or related health care field is preferred. Knowledge in medical terminology, basic anatomy and physiology, medico-legal and regulatory record requirements is required. Experience Requirements • 1 to 2 years clerical experience. Detail oriented and background in basic office procedures, good computer skills and training required in (Windows/NT), Onbase. • Interpersonal skills to effectively communicate and collaborate with other members of HIM and other hospital personnel. • Medical Terminology • Ability to set priorities, problem solve, use proper judgment in difficult situations and be flexible Licensing and Certification Requirements (if applicable) RHIT or RHIA Preferred Collective bargaining unit: SEIU 1199-MSH Compensation Statement The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $26.88 - $28.86 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital 1. Receives and accounts for records of discharge patients from all units (including inpatient, outpatient surgery) on a daily basis. 2. Reconciles receipt of loose work from all clinical areas within the hospital and reports to Supervisor issues regarding timely receipt. 3. Prepares records for scanning by grouping like document types together; places in page and date order; removes COLD fed documents from each record (i.e. transcribed reports, laboratory reports or radiology reports may be COLD depending on site); preparing all documents by removing staples, paper clips, sticky notes and rubber bands; removes unapproved/denial forms for further review; checks each patient record for poor originals and stamps with poor original stamp. In addition, copies all damaged documents so that they can go through the scanning process without difficulty; removes all color graphs, photographs and other difficult to scan documents from patient record by ensuring that the patient name, encounter number and medical record number are documented on photograph cover sheet. Replaces aforementioned documents with photograph cover sheet. Places original documents in designated folder and in designated location for scanning and according to procedure. 4. Prepares batch by placing batch cover sheet on each batch and placing rubber band around batch. According to procedure, creates a batch for inpatient and outpatient record. 5. According to set procedure, prepares loose reports for scanning, in addition; creates loose report batch of appropriate size. 6. Ensure optimal image results by keeping track of scanner maintenance. According to instructions maintains scanner on a weekly basis and provides general maintenance. 7. Retrieves records from scanning shelf and performs scanning process according to procedure and established timeframe 8. Verifies that each batch has been prepped appropriately, removes documents that cannot be scanned and removes staples, paperclips, decides which errors to correct and when to return work to be corrected. 9. Performs indexing process with accuracy by ensuring that each document is indexed to the correct patient/encounter and/or document type. 10. Assigns a batch label according to procedure. 11. Ensures the scanned medical records are an accurate reflection of the original paper medical record. 12. Ensure errors that occur during the scanning process are corrected. 13. Prepares “final” scanned documents for storage and maintains active/electronic log to facilitate quick retrieval and access of information. 14. Reviews assigned work queue(s) daily and ensures timely processing of all assignments in the queues. 15. Cross trains to perform all clerical functions within HIM 16. It is expected that all HIM employees will function as members of a team dedicated to provide the highest quality services to our clients by assisting in such functions as maintaining a safe clean and functional environment.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64The HIM Technician is responsible for supporting the health information management processes within the Albany Med Health System (AMHS). This entry-level position focuses on the retrieval, preparation, scanning and indexing of clinical documentation for AMHS' inpatient and outpatient facilities. The HIM Technician ensures compliance with legal, regulatory, and organizational standards while maintaining the Integrity and confidentiality of patient information. Essential Duties and Responsibilities Assist the HIM Operations Manager to ensure all clinical documentation is available to coding/billing and clinical staff via the electronic health record within 24 hours of discharge. Retrieves and sorts clinical documentation from departments when directed by the HIM leadership team. Prepares clinical documentation to be scanned by reconciling encounters, orders, referrals, etc. Follows up on incomplete records per departmental reconciliation guidelines. Prep, scan and index incoming clinical documentation from internal providers and external referrers in accordance with departmental policies and procedures. Performs a thorough review of all incoming documents via mail, faz, email, etc. and redirects them to the appropriate departments accordingly. Identifies documents, which constitute the legal content of the patient's health record, in both electronic and paper formats to ensure integrity of record. Assigns appropriate document types and supporting identifiers such as date of service. Assists in the collection and reporting of quality metrics related to PCMH and CMS quality measures by adhering to departmental policies that target appropriate mapping of the medical record (patient, encounter, or order level). Identify contents of incoming paper and electronic clinical documentation to appropriately reroute documents to physician, nurse, referral team or other department in accordance with department policies and procedures. Properly completes destruction of records once prep, scan, index, and QA processing has been fulfilled. Understands departmental record retention schedule and assists with tasks related to storing, retention, and purging patient records. Meets productivity and quality benchmarks and scorecard expectations set by the HIM Operations Manager. Collaborate with the team to enhance data accuracy and integrity of medical records. Notify HIM leadership of any workflow or build issues to mitigate potential problems as soon as possible. Performs other tasks and projects assigned by the HIM leadership team. Takes proactive steps to recognize active or potential security risks and report them to qualified IT staff or supervisor. Adaps to the diversity of the customer to understand complex issues. Qualifications High School Diploma/G.E.D. - required . Will consider an associates degree in HIM with a minimum of 80 hours of practical experience in HIM in a hospital setting in lieu of work experience. - required Familiarity with EHR systems, ideally EPIC and OnBase. Basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures. Ability to organize and establish day-today priorities Ability to multitask while remaining professional, focused, compused, and positive Excellent customer service skills Displays Integrity, friendliness and compassion Must be able to establish an appropriate and effective rapport with patients, coworkers, and medical staff Must be able to demonstrate effective and appropriate written and oral communication skills Ability to take and follow direction in a positive and appropriate manner Must be flexible Takes initiative/able to work independently Embraces new opportunities to grow both personally and organizationally Must be efficient and effective in the use of resources Basic computer skills such as but not limited to Excel, Work, and Microsoft Teams Ability to read and understand the English language Ability to effectively maintain confidentiality of records and communicate with all levels of personnel RHIA, RHIT - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Constantly Hearing - Constantly Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students". All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page. Closing Date: 01/22/2026 Type of Position: Clinical Staff - Clinical Support Job Type: Regular Work Shift: Day Shift (United States of America) Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): * Health: Medical, Dental and Vision plans available for qualifying staff and family * Holiday, Vacation and Sick Leave * Education discount for staff and dependents (undergraduate only) * Retirement: Up to 10% matched contribution from UAMS * Basic Life Insurance up to $50,000 * Career Training and Educational Opportunities * Merchant Discounts * Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************. Department: FIN | CORE Coding - PB Surgery Department's Website: Summary of Job Duties: REMOTE CODING POSITION WILL WORK FROM HOME The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures. Qualifications: Minimum Qualifications: * High School Diploma/GED. * Must have an understanding of CPT and ICD-10. * Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. * Must have two (2) years of coding experience. Preferred Qualifications: * Associates or Bachelor's in Health Information Management. * Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA. OR * Bachelor's degree in health information management or related field. * Preferred RHIA or RHIT. Additional Information: Responsibilities: * Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. * Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures; * Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system; * Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs; * Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity. Salary Information: Commensurate with education and experience Required Documents to Apply: License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume Optional Documents: Special Instructions to Applicants: Recruitment Contact Information: Please contact *********************** for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site ***************************************** Please do not send to listed recruitment contact. Pre-employment Screening Requirements: Criminal Background Check This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting Frequent Physical Activity: Hearing, Talking Occasional Physical Activity: Standing, Stooping, Walking Benefits Eligible: Yes

Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including departments requiring clinical/coding expertise. Responsible for validation of items, assuring the appropriate assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable documentation. Job Responsibility + Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. + Coordinates with ancillary departments regarding the instruction of appropriate charge capture and regulatory guidelines. + Identifies front-end process improvement initiatives; monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. + Ensures revenue codes are in compliance with the Federal Register and other regulatory agencies. Uses various coding resources, including researching availability of additional documentation to assign accurate codes. + Keeps abreast of federal regulatory agencies and changes in coding and reimbursement. + Involved in coding system conversion projects in which new facilities are added to coding system structure. + Serves as the coding resource with charge capture knowledge during coding system departmental reviews with responsibilities including voluminous charge validation and corporate mapping of each charge by department. + Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Bachelor's Degree required, or equivalent combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed. + 1-3 years of relevant experience, required. ***Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $64350-$98500/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 The HIM Technician is responsible for supporting the health information management processes within the Albany Med Health System (AMHS). This entry-level position focuses on the retrieval, preparation, scanning and indexing of clinical documentation for AMHS' inpatient and outpatient facilities. The HIM Technician ensures compliance with legal, regulatory, and organizational standards while maintaining the Integrity and confidentiality of patient information. Essential Duties and Responsibilities * Assist the HIM Operations Manager to ensure all clinical documentation is available to coding/billing and clinical staff via the electronic health record within 24 hours of discharge. * Retrieves and sorts clinical documentation from departments when directed by the HIM leadership team. * Prepares clinical documentation to be scanned by reconciling encounters, orders, referrals, etc. Follows up on incomplete records per departmental reconciliation guidelines. * Prep, scan and index incoming clinical documentation from internal providers and external referrers in accordance with departmental policies and procedures. * Performs a thorough review of all incoming documents via mail, faz, email, etc. and redirects them to the appropriate departments accordingly. * Identifies documents, which constitute the legal content of the patient's health record, in both electronic and paper formats to ensure integrity of record. * Assigns appropriate document types and supporting identifiers such as date of service. * Assists in the collection and reporting of quality metrics related to PCMH and CMS quality measures by adhering to departmental policies that target appropriate mapping of the medical record (patient, encounter, or order level). * Identify contents of incoming paper and electronic clinical documentation to appropriately reroute documents to physician, nurse, referral team or other department in accordance with department policies and procedures. * Properly completes destruction of records once prep, scan, index, and QA processing has been fulfilled. Understands departmental record retention schedule and assists with tasks related to storing, retention, and purging patient records. * Meets productivity and quality benchmarks and scorecard expectations set by the HIM Operations Manager. * Collaborate with the team to enhance data accuracy and integrity of medical records. * Notify HIM leadership of any workflow or build issues to mitigate potential problems as soon as possible. * Performs other tasks and projects assigned by the HIM leadership team. * Takes proactive steps to recognize active or potential security risks and report them to qualified IT staff or supervisor. * Adaps to the diversity of the customer to understand complex issues. Qualifications * High School Diploma/G.E.D. - required * . Will consider an associates degree in HIM with a minimum of 80 hours of practical experience in HIM in a hospital setting in lieu of work experience. - required * Familiarity with EHR systems, ideally EPIC and OnBase. * Basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures. * Ability to organize and establish day-today priorities * Ability to multitask while remaining professional, focused, compused, and positive * Excellent customer service skills * Displays Integrity, friendliness and compassion * Must be able to establish an appropriate and effective rapport with patients, coworkers, and medical staff * Must be able to demonstrate effective and appropriate written and oral communication skills * Ability to take and follow direction in a positive and appropriate manner * Must be flexible * Takes initiative/able to work independently * Embraces new opportunities to grow both personally and organizationally * Must be efficient and effective in the use of resources * Basic computer skills such as but not limited to Excel, Work, and Microsoft Teams * Ability to read and understand the English language * Ability to effectively maintain confidentiality of records and communicate with all levels of personnel * RHIA, RHIT - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands * Standing - Occasionally * Walking - Occasionally * Sitting - Constantly * Lifting - Rarely * Carrying - Rarely * Pushing - Rarely * Pulling - Rarely * Climbing - Rarely * Balancing - Rarely * Stooping - Rarely * Kneeling - Rarely * Crouching - Rarely * Crawling - Rarely * Reaching - Rarely * Handling - Occasionally * Grasping - Occasionally * Feeling - Rarely * Talking - Constantly * Hearing - Constantly * Repetitive Motions - Frequently * Eye/Hand/Foot Coordination - Frequently Working Conditions * Extreme cold - Rarely * Extreme heat - Rarely * Humidity - Rarely * Wet - Rarely * Noise - Occasionally * Hazards - Rarely * Temperature Change - Rarely * Atmospheric Conditions - Rarely * Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process. 8.Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment. 9.Assigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets. 11.Assigns appropriate discharge physician in the system. 12.Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations. 13.Demonstrates basic knowledge of the impact of coding decisions on revenue cycle. 14.Assists in the education of physicians and other clinicians by advocating proper documentation practices, further specificity, resequencing and inclusion of diagnoses or procedures when needed to more accurately reflect the acuity, severity of illness and risk of mortality as indicated. 15.Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. 16.Completes moderately complex assignments that require an ability to recognize the need to occasionally deviate from accepted practices. 17.Exercises independent judgment on basic or moderately complex issues regarding job and related tasks. 18.Works independently under minimal supervision within established guidelines and procedures. 19.Requires minimal instruction on day-to-day work; majority of work is self-directed; receives instruction on new assignments. 20.Works with lead on resolution of day-to-day technical/procedural challenges. 21.May provide work guidance to team members to ensure accurate and timely completion of tasks. 22.Performs related duties, as required. *ADA Essential Functions Job Qualification High School Diploma or equivalent required. 3 - 5 years of technical experience, required. One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP) or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) or RHIA or RHIT certification. Inpatient facility coding experience, preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including departments requiring clinical/coding expertise. Responsible for validation of items, assuring the appropriate assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable documentation. Job Responsibility Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. Coordinates with ancillary departments regarding the instruction of appropriate charge capture and regulatory guidelines. Identifies front-end process improvement initiatives; monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. Ensures revenue codes are in compliance with the Federal Register and other regulatory agencies. Uses various coding resources, including researching availability of additional documentation to assign accurate codes. Keeps abreast of federal regulatory agencies and changes in coding and reimbursement. Involved in coding system conversion projects in which new facilities are added to coding system structure. Serves as the coding resource with charge capture knowledge during coding system departmental reviews with responsibilities including voluminous charge validation and corporate mapping of each charge by department. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed. 1-3 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including departments requiring clinical/coding expertise. Responsible for validation of items, assuring the appropriate assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable documentation. Job Responsibility Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. Coordinates with ancillary departments regarding the instruction of appropriate charge capture and regulatory guidelines. Identifies front-end process improvement initiatives; monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. Ensures revenue codes are in compliance with the Federal Register and other regulatory agencies. Uses various coding resources, including researching availability of additional documentation to assign accurate codes. Keeps abreast of federal regulatory agencies and changes in coding and reimbursement. Involved in coding system conversion projects in which new facilities are added to coding system structure. Serves as the coding resource with charge capture knowledge during coding system departmental reviews with responsibilities including voluminous charge validation and corporate mapping of each charge by department. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed. 1-3 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).