River Hospital Hiring for Medical Coder Job at Alexandria Bay, NY Full Time

RATES OUTLINED ON INDEED DO NOT REFLECT RATE THAT WILL BE DISCUSSED DURING INTERVIEW BASED ON EDUCATION AND EXPERIENCE.

Duties and responsibilities

• The responsibilities of a Certified Medical Coding Specialist are to keep inpatient and outpatient coding current using ICD 10 CM and CPT-4/HCPCS Coding Classification systems. Knowledge of coding to include: Inpatient, Outpatient, Ambulatory Surgery, Emergency Room, Outpatient Surgery, Ancillary Services, Observation Services, Nursing Home and Swing Bed Services.

Expectations:

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes
• Collect health information as documented by medical specialists and code them appropriately
• Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations
• Ensure that codes tally with doctors’ diagnosis
• Advocate for patients where their medical history is needed as evidence
• Evaluate and re-file appeals of patient claims that were denied
• Be updated about new coding rules as codes change from time to time
• Develop good client relationship in the course of duty
• Collect and distribute coding related information and billing issues
• Provide accurate answers to queries on coding
• Reads and interprets medical record documentation to identify all services and procedures performed during the outpatient/inpatient visit.
• Assess the adequacy of medical record documentation to ensure that it supports the procedures and services assigned codes and/or DRG.
• Clarifies conflicting, ambiguous, or non-specific information appearing in a medical record by consulting the appropriate physician.
• Apply knowledge of ICD 10-CM and CPT formats, guidelines, and notes to locate the correct codes for all services and procedures performed during the patient stay.
• Sequencing of all diagnoses and procedures following Uniform Discharge Data Set (UHDDS) and other fiscal intermediary guidelines.
• Follows the American Hospital Association Coding Clinic guidelines for inpatient and outpatient visits.
• Abides by the American Health Information code of ethics.
• Applies knowledge of anatomy and procedural terminology to assign accurate codes to procedures.
• Refuses to unfairly maximize reimbursement by unbundling services and codes that do not conform to CPT basic coding principles and payer reimbursement guidelines.
• Refuses to unfairly maximize patient reimbursement (DRG Creep) by coding diagnoses that do not affect treatment and are not being treated.
• Timely coding of all inpatient and outpatient visits following established time frames.
• Abstract medical data from the record to complete the Universal Data Set (UDS) on all Ambulatory Surgery Services patients for submission to the Statewide Planning and Research Cooperative System (SPARCS).
• Accurately enters patient information, diagnostic and procedural codes into patient medical record and databases. Ensures accuracy and integrity of medical record abstract prior to billing interface and claims submission.

Job Type: Full-time

Pay: $20.00 – $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location:

• One location

Work Remotely:

• No

Work Location: One location