Medical Coder jobs at Texas Tech University - 50 jobs
Coding Specialist
Texas Tech University 4.2
Medical coder job at Texas Tech University
Review medical record provider documentation and assign appropriate CPT, HCPCS and/or ICD-10-CM codes for provider services (in accordance with the Standards of Ethical Coding set forth by the American Association of Professional Coders and American Health Information Management Association while ensuring accurate completion of responsibilities by established deadlines, resulting in maximum financial return. Demonstrated ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.
Requisition ID
43541BR
Optional Attachments
Transcript
Travel Required
None
Major/Essential Functions
* Selecting and assigning the appropriate level of service for CPT, ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing.
* Assist with onboarding training for physicians, residents, non-physician practitioner (APP) and coding staff on documentation and coding guidelines.
* Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned by the business office MPIP personnel, ensuring deadlines are met.
* Managing non-coding-related issues within the AthenaIDX and ETM systems and adhering to all timely deadlines.
* Performing charge data entry for billing in AthenaIDX.
* Acting as a liaison between the internal coding team and the vendor, ensuring clear communication, and assisting the external medical coding vendor by clarifying clinical documentation or coding questions. This includes providing feedback on coding discrepancies, auditing vendor-coded charts for accuracy and adherence to facility guidelines, and assigning charts or work queues as needed.
* Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
* Adhere to all TTUHSCEP policies, procedures and processes.
* Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork).
* Perform all other duties as assigned.
Grant Funded?
No
Minimum Hire Rate
Compensation is commensurate upon the qualifications
Pay Basis
Hourly
Work Location
El Paso
Preferred Qualifications
* Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines in an academic teaching setting.
* Knowledge of Athena IDX patient accounts, Athena Flow and Cerner Electronic Medical Records (EMR) or Electronic Health Records (EHR) and patient accounting software systems.
* Ability to participate with internal peer coding audit reviews.
* Ability to communicate with physicians and other healthcare providers for documenting guidelines.
* Bilingual English and Spanish.
Campus
HSC - El Paso
Department
Medical Coding SOM ELP
Required Attachments
Professional License or Certification, Resume / CV
Job Type
Full Time
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website.
Job Group
Information and Records Clerks
Shift
Day
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Required Qualifications
* High School diploma or equivalent (GED)
* 1 year experience with medical coding and/or billing
* Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC)
Does this position work in a research laboratory?
No
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: **************************************************
$45k-56k yearly est. 3d ago
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Certified Professional Coder (Accounts Receivable)
Columbia University In The City of New York 4.2
New York, NY jobs
* Job Type: Officer of Administration * Regular/Temporary: Regular * Hours Per Week: 35 * Standard Work Schedule: Core business hours Monday-Friday, schedules vary * Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
Position Summary
The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.
Responsibilities
Accounts Receivable Coding
* Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.
* Manages complex coding-related cases and recommends resolutions while escalating issues when necessary.
* Prepares and reviews correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.
* Documents all actions and findings in the billing system to maintain accurate and comprehensive account records.
* Collaborates with the senior leadership to address unresolved or escalated issues.
Coding and Charge Review
* Reviews charges in work queues for compliance and accuracy, ensuring alignment with Current Procedural Terminology (CPT), ICD-10, and other coding standards.
* Performs reconciliation of charges against appointment reports or procedure logs to ensure all patient services are billed appropriately.
* Verifies the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.
* Communicates with providers to resolve discrepancies via Epic or a secure chat.
* Reviews charge correction requests and ensures accuracy prior to resubmission.
Denials Management
* Collaborates with Accounts Receivable staff to resolve denied or rejected claims related to coding issues.
* Provides expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.
* Tracks trends in denials and recommends process improvements to reduce future errors.
Insurance Verification and Compliance
* Conducts thorough insurance verification to ensure accurate claim submission and timely reimbursement.
* Updates patient accounts with corrected demographic or insurance information as necessary.
* Ensures compliance with organizational and regulatory coding standards, including HIPAA and Medicare/Medicaid guidelines.
Continuous Improvement
* Monitors key performance indicators and participates in performance improvement initiatives.
* Provides coding expertise to support department goals and enhance revenue cycle operations.
Compliance & Other
* Performs other tasks and assumes additional responsibilities within the Revenue Cycle Department as assigned.
* Represents the FPO Clinical Revenue Office on cross-functional committees, task forces, and work groups as assigned.
* Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.
Minimum Qualifications
* Bachelor's Degree or an equivalent combination of education and experience.
* A minimum of 3 years of medical coding experience, preferably in a physician billing or third-party payer environment.
* An equivalent combination of education and experience may be considered.
* CPC certification is required.
* Proficiency in CPT, ICD-10, and HCPCS coding, as well as payer-specific billing guidelines.
* Strong working knowledge of managed care eligibility, referrals, and authorizations.
* Demonstrated ability to interpret clinical documentation and ensure compliance with coding and billing standards.
* Excellent organizational skills and attention to detail, with the ability to handle multiple tasks effectively.
* Proficiency in Microsoft Office (Word, Excel) and electronic health record systems (e.g., Epic).
* Must successfully complete systems training requirements.
Preferred Qualifications
* Experience in a physician practice or healthcare setting.
* Experience in EPIC.
* Familiarity with quantitative and qualitative data analysis related to coding and billing.
Competencies
Patient Facing Competencies
Minimum Proficiency Level
Accountability & Self-Management
Level 3 - Intermediate
Adaptability to Change & Learning Agility
Level 2 - Basic
Communication
Level 2 - Basic
Customer Service & Patient Centered
Level 3 - Intermediate
Emotional Intelligence
Level 3 - Intermediate
Problem Solving & Decision Making
Level 3 - Intermediate
Productivity & Time Management
Level 3 - Intermediate
Teamwork & Collaboration
Level 2 - Basic
Quality, Patient & Workplace Safety
Level 3 - Intermediate
Leadership Competencies
Minimum Proficiency Level
Business Acumen & Vision Driver
Level 1 - Introductory
Innovation & Organizational Development
Level 1 - Introductory
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
$66.3k-75k yearly 46d ago
Medical Records Coder-Intermediate
Ut Health San Antonio 4.5
San Antonio, TX jobs
Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems.
This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings.
Proficiency in ICD-10 and CPT coding.
Basic understanding of medical terminology, anatomy and physiology.
Meticulous attention to detail and accuracy.
A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
Strong verbal, written and interpersonal communication skills.
Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.
EXPERIENCE:
Three (3) years experience in medical record abstraction and coding is required.
CERTIFICATION:
CBCS Certified Billing and Coding Specialist: National Health career Association Upon Hire Req Or
RHIT Registered Health Information Technician: American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC) Upon Hire Req Or
RHIA Registered Health Information Administrator: American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC) Upon Hire Req Or
CCS Certified Coding Specialist: American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC) Upon Hire Req Or
CPC Certified Professional Coder American Academy of Professional Coders (AAPC) Upon Hire Req
Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
Works coding related charge review and claim edits daily to ensure timely and accurate billing.
Obtains medical records and charge fee information from patient care area.
Contacts other facilities to obtain medical records and information needed to bill for services rendered.
Verifies charge capture and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; ensures proper documentation guidelines are followed.
Codes diagnosis and procedures using classification coding systems.
Reviews charge documents for completeness.
Performs all other duties as assigned.
$51k-61k yearly est. Auto-Apply 1d ago
Medical Records Coder-Senior
Ut Health San Antonio 4.5
San Antonio, TX jobs
Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems.
This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings.
$51k-61k yearly est. 7d ago
(19.99 hours a week) Coder - RCO Coding
University of Texas Medical Branch 3.6
Galveston, TX jobs
Properly codes Professional Inpatient, Physician outpatient and technical charges for multiple clinics to ensure accuracy and optimal reimbursement from all third-party payers Minimum Qualifications High school diploma or equivalent and two years of medical billing or related experience, or related training from an accredited agency. The coder must be able to code & QA Outpatient Technical and Professional in 4 or more specialties. CCA, CCS, or CCSP coding certification from AHIMA, or CPCA, CPC, CPCHA coding certification from AAPC required within one year of hire. A successful completion of General Compliance Coder testing within 6 months of hire is also required.
Preferred Qualifications
PB/HB, Revenue Cycle, Coding, Charge Capture, Medicare, CMS Preferred.
Salary Range
Actual salary commensurate with experience.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$44k-54k yearly est. 30d ago
Senior Coder - RCO Coding
University of Texas Medical Branch 3.6
Galveston, TX jobs
EDUCATION & EXPERIENCE: Minimum Qualifications: * Three years of multi-specialty coding experience. * Proficient in coding Professional services, and/or Outpatient professional and hospital technical services. * Experience with communicating, training, and educating providers in proficiency.
Preferred Qualifications:
* Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.
REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:
One of the following:
* CCA - Certified Coding Associate (AHIMA) or
* CCS - Certified Coding Specialist (AHIMA) or
* CCS-P - Certified Coding Specialist - Physician Based (AHIMA) or
* RHIA - Registered Health Information Administrator (AHIMA) or
* RHIT - Registered Health Information Technician (AHIMA)
* CIC - Certified Inpatient Coder (AAPC) or
* COC - Certified Outpatient Coder (AAPC) or
* CPC - Certified Professional Coder (AAPC) or
* CPC-A - Certified Professional Coder - Apprentice (AAPC) or
* CRC - Certified Risk Adjustment Coder (AAPC)
JOB SUMMARY:
Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.
ESSENTIAL JOB FUNCTIONS:
* Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
* Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
* Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
* Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
* Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
* Attends and participates in coding education sessions.
* Obtains required CEU's for certification and completes any required education.
* Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
* The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
* Work all PB/HB claim edits and reject errors daily.
* Hospital DNB's will be worked as assigned per Specialty.
* Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
* Adheres to internal controls and reporting structure.
Marginal or Periodic Functions:
* Performs related duties as required.
KNOWLEDGE/SKILLS/ABILITIES:
* Strong written and oral communication skills.
WORKING ENVIRONMENT/EQUIPMENT:
* Standard office environment at UTMB's main campus or other location.
* Occasional travel may be required.
* Standard office equipment
SALARY RANGE:
Actual salary commensurate with experience.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$44k-54k yearly est. 27d ago
Senior DRG Coder - RCO Coding
University of Texas Medical Branch 3.6
Galveston, TX jobs
EDUCATION & EXPERIENCE: Minimum Qualifications: * A high school diploma or GED and three years related experience. Preferred Qualifications: * Three (3) years of experience in DRG and/or PCS coding. * Experience with communicating, training, and educating providers in proficiency.
* Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.
REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:
One of the following:
* CCS - Certified Coding Specialist (AHIMA) or
* RHIA - Registered Health Information Administrator (AHIMA) or
* RHIT - Registered Health Information Technician (AHIMA)
JOB SUMMARY:
To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options.
ESSENTIAL JOB FUNCTIONS:
* Selects records from EPIC WQ according to priority.
* Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures.
* Correctly assigns ICD-10 -CM diagnoses and I C D - 1 0 - P C S procedure codes and enters appropriate codes into EPIC Encoder.
* Identifies responsible staff and resident physicians for each procedure coded.
* Always protects confidentiality of patient information.
* Participates in section meeting and office in-services.
* Attends and participates in coding education sessions.
* Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature.
* Obtains required CEU's for certification and completes any required education.
* Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
* Responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
Marginal or Periodic Functions:
* Adheres to internal controls and reporting structure
* Performs related duties as required
KNOWLEDGE/SKILLS/ABILITIES:
* Strong interpersonal, written, and oral communication skills
* Proficient in inpatient coding with the ability to audit and provide education to providers and coders
WORKING ENVIRONMENT/EQUIPMENT:
* Standard office environment at UTMB's main campus or other location.
* Occasional travel may be required.
* Standard office equipment
SALARY RANGE:
Actual salary commensurate with experience.
WORK SCHEDULE:
Flexible schedule between 6:00 a.m. - 6:00 p.m.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$44k-54k yearly est. 30d ago
Inpatient Coder
Suny Downstate Health Sciences University 3.9
New York, NY jobs
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
Bargaining Unit:
UUP
Job Summary:
The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will:
Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10PCS or CPT codes according to established procedures.
Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement.
Ensure the selection of accurate and descriptive codes from the appropriate classification system.
Ensure the confidentiality of data contained on the patients' medical records.
Analyze the information contained in the medical record to ensure that the most appropriate codes are used.
Query the physicians for appropriate documentation.
Work collaboratively with all department and hospital staff.
Perform other related duties as assigned.
Required Qualifications:
RHIA or RHIT or CCS coding certification.
1+ year in a supervisory/administrator capacity.
Ability to make coding decisions based on use of established coding guidelines.
Ability to work independently and be a self-starter.
Preferred Qualifications:
Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred.
Work Schedule:
Monday to Friday; 9:00am to 5:00pm
Salary Grade/Rank:
SL-2
Salary Range:
Commensurate with experience and qualifications
Executive Order:
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************.
Equal Employment Opportunity Statement:
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************
$45k-55k yearly est. 60d+ ago
Outpatient Coder
Suny Downstate Health Sciences University 3.9
New York, NY jobs
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
Bargaining Unit:
UUP
Job Summary:
The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist. The successful candidate will:
Report to the Coding Manager and Director of HIM Department.
Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS/or CPT codes according to established procedures.
Maintain optimal standards of coding and assume uniformity of coding for compliance and reimbursement.
Ensure the selection of accurate and descriptive codes from the appropriate classification system.
Ensure the confidentiality of data contained in the patients medical records.
Analyze the information contained in the medical records.
Analyze the information contained in the medical records to ensure that the most appropriate codes are used.
Queries the physicians for the appropriate documentation.
Work collaboratively with all departments and hospital staff.
Perform other related duties as assigned.
Required Qualifications:
RHIA or RHIT or CCS or CPC coding certification.
Ability to make coding decisions based on use of established coding guidelines.
Must have ability to work independently and be a self-starter.
Preferred Qualifications:
BS Degree with related Health Information Management experience.
3-5 years direct coding experience in an acute care setting.
Work Schedule:
Monday to Friday; 9:00am to 5:00pm
(Full-Time)
Salary Grade/Rank:
SL-2
Salary Range:
Commensurate with experience and qualifications
Executive Order:
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************.
Equal Employment Opportunity Statement:
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************
$45k-55k yearly est. 60d+ ago
Med Records Coder IV, Complex
University of Rochester 4.1
Albany, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
Remote Work - New York, Albany, New York, United States of America, 12224
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 108 H
Compensation Range:
$24.91 - $34.87
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
The MedicalCoder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
**ESSENTIAL FUNCTIONS**
+ Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
+ Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
+ Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
+ Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
+ Other duties as assigned
**MINIMUM EDUCATION & EXPERIENCE**
+ HS Diploma
+ Associates degree in Health Information Technology or health related field, preferred
+ 3 years' experience as MedicalCoder
+ Additional coding experience in area of assignment, preferred
+ or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC
+ Working knowledge of medical terminology and anatomy
**LICENSES AND CERTIFICATIONS** (preferred)
+ Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS).
+ Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$24.9-34.9 hourly 11d ago
Med Records Coder III, Complex
University of Rochester 4.1
Albany, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
Remote Work - New York, Albany, New York, United States of America, 12224
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
900370 Health Info Mgmt-Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 107 H
Compensation Range:
$23.06 - $32.29
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
**ESSENTIAL FUNCTIONS**
+ Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
+ Reviews and resolves coding denials.
+ Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
+ Abstracts data and reviews codes for accuracy.
+ Performs system edit checks and corrects errors as needed.
+ Responds to coding information requests from various sources.
+ Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and 2 years of experience as a medicalcoder required
+ Associate's degree preferred
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC required
+ Working knowledge of medical terminology and anatomy required
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$23.1-32.3 hourly 60d+ ago
Med Records Coder III
University of Rochester 4.1
Albany, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
Remote Work - New York, Albany, New York, United States of America, 12224
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.
**ESSENTIAL FUNCTIONS**
+ Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
+ Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up.
+ May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
+ Responds to coding information requests and inquiries from various sources.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
+ Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and 1 year MedicalCoder experience required
+ Associate's degree preferred
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC required
+ Working knowledge of medical terminology and anatomy required
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$21.4-29.9 hourly 36d ago
Med Records Coder III
University of Rochester 4.1
York, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
Remote Work - New York, Albany, New York, United States of America, 12224
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.
ESSENTIAL FUNCTIONS
Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up.
May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
Responds to coding information requests and inquiries from various sources.
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
High School diploma or equivalent and 1 year MedicalCoder experience required
Associate's degree preferred
Or equivalent combination of education and experience
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required
LICENSES AND CERTIFICATIONS
American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
$21.4-29.9 hourly Auto-Apply 35d ago
Medical Records Coder II
University of Rochester 4.1
Albany, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
Remote Work - New York, Albany, New York, United States of America, 12224
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 105 H
Compensation Range:
$19.96 - $27.94
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s).
**ESSENTIAL FUNCTIONS**
+ Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow.
+ Completes system edit reviews to make corrections before transmittal.
+ Ensures work queue and responsibilities are handled within established guidelines and timeframes.
+ Troubleshoots problems that prevent claims from being released.
+ Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
+ Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays.
+ Works closely with designated leader to ensure effective communication to resolve invoice payment delays.
+ As necessary, provides Providers and other staff with information relative to coding.
+ Responds to coding information requests and inquiries from various sources.
Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and less than 1 year of relevant experience required
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC preferred
+ Working knowledge of medical terminology and anatomy preferred
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). preferred or
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute. preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$20-27.9 hourly 55d ago
Coding Specialist
Texas Tech University System 4.2
Medical coder job at Texas Tech University
Review medical record provider documentation and assign appropriate CPT, HCPCS and/or ICD-10-CM codes for provider services (in accordance with the Standards of Ethical Coding set forth by the American Association of Professional Coders and American Health Information Management Association while ensuring accurate completion of responsibilities by established deadlines, resulting in maximum financial return. Demonstrated ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.
Selecting and assigning the appropriate level of service for CPT, ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing.
Assist with onboarding training for physicians, residents, non-physician practitioner (APP) and coding staff on documentation and coding guidelines.
Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned by the business office MPIP personnel, ensuring deadlines are met.
Managing non-coding-related issues within the AthenaIDX and ETM systems and adhering to all timely deadlines.
Performing charge data entry for billing in AthenaIDX.
Acting as a liaison between the internal coding team and the vendor, ensuring clear communication, and assisting the external medical coding vendor by clarifying clinical documentation or coding questions. This includes providing feedback on coding discrepancies, auditing vendor-coded charts for accuracy and adherence to facility guidelines, and assigning charts or work queues as needed.
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
Adhere to all TTUHSCEP policies, procedures and processes.
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork).
Perform all other duties as assigned.
Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines in an academic teaching setting.
Knowledge of Athena IDX patient accounts, Athena Flow and Cerner Electronic Medical Records (EMR) or Electronic Health Records (EHR) and patient accounting software systems.
Ability to participate with internal peer coding audit reviews.
Ability to communicate with physicians and other healthcare providers for documenting guidelines.
Bilingual English and Spanish.
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website.
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
High School diploma or equivalent (GED)
1 year experience with medical coding and/or billing
Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC)
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: **************************************************
$45k-56k yearly est. 4d ago
7335-Temporary Professional
Pasadena Independent School District (Tx 4.1
Pasadena, TX jobs
Temporary Worker/Temporary
Additional Information: Show/Hide
Education:
Essential:
* Bachelor's of be a current substitute teacher
$60k-70k yearly est. 45d ago
7335-Temporary Professional
Pasadena Independent School District 4.1
Texas jobs
Temporary Worker/Temporary
Location: District Wide
Education:
Essential:
* Bachelor's of be a current substitute teacher
$60k-71k yearly est. 60d+ ago
Medical Records Coder IV, Lead
University of Rochester 4.1
Rochester, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
220 Hutchison Rd, Rochester, New York, United States of America, 14620
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URCB 209 H
Compensation Range:
$25.79 - $36.11
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.
**Key Functions and Expected Performances**
With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment:
+ 25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials.
+ 25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues.
+ 25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product.
+ 15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff.
+ 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.
May perform other duties as assigned.
**Qualifications:**
Required:
+ Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience.
+ Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required
+ Excellent problem-solving skills
+ Excellent communication skills
+ Excellent customer service skills
Preferred:
+ Certification in Professional Fee Coding (AAPC, AHIMA)
+ Strong working knowledge of the professional billing software applications
+ Ability to type 25 wpm.
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$25.8-36.1 hourly 60d+ ago
Med Records Coder III
University of Rochester 4.1
Rochester, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
The Med Records Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
**ESSENTIAL FUNCTIONS**
+ Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
+ Reviews and resolves coding denials.
+ Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
+ Abstracts data and reviews codes for accuracy.
+ Performs system edit checks and corrects errors as needed.
+ Responds to coding information requests from various sources.
+ Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned
**MINIMUM EDUCATION & EXPERIENCE**
HS Diploma Required
+ Associates degree in Health Information Technology or health related field Preferred
+ 1 years' experience as MedicalCoder Required
+ Additional coding experience in area of assignment Preferred
+ Or equivalent combination of education and experience Required
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC Required
+ Working knowledge of medical terminology and anatomy Required
**LICENSES AND CERTIFICATIONS**
+ Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). Preferred
+ Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute. Preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
$21.4-29.9 hourly 60d+ ago
Med Records Coder III
University of Rochester 4.1
Rochester, NY jobs
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
905 Elmgrove Rd, Rochester, New York, United States of America, 14624
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 106 H
Compensation Range:
$21.36 - $29.90
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE:
Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.
**ESSENTIAL FUNCTIONS**
+ Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.
+ Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem. Provides feedback for correction and follow-up.
+ May abstract data and review codes for accuracy. Ensures accurate reimbursement based on guidelines and/or abstraction of provider documentation.
+ Responds to coding information requests and inquiries from various sources.
+ Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
Other duties as assigned.
**MINIMUM EDUCATION & EXPERIENCE**
+ High School diploma or equivalent and 1-year MedicalCoder experience required
+ Associate's degree preferred
+ Or equivalent combination of education and experience
**KNOWLEDGE, SKILLS AND ABILITIES**
+ Knowledge of ICD-10CM, CPT and HCPSC required
+ Working knowledge of medical terminology and anatomy required
**LICENSES AND CERTIFICATIONS**
+ American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
+ Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified MedicalCoder (CMC) from Practice Management Institute preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current Employee,** please **log into my URHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.