[Hiring] Coding Specialist @Mount Sinai Medical Center

Role Description

The Coding Outpatient Specialist is responsible for reviewing, coding, and abstracting outpatient medical records by accurately selecting and documenting appropriate ICD-10-CM diagnosis and CPT procedure codes. This includes a wide range of outpatient services such as:

• Clinic visits
• Same-day surgeries
• Diagnostic testing
• Oncology
• Wound care
• Other ancillary services

The role ensures compliance with CMS regulations, payer-specific guidelines, and organizational policies to support accurate reimbursement and data integrity. The specialist evaluates clinical documentation within the electronic health record (EHR) to determine correct code assignment, verify medical necessity, and ensure all rendered services are appropriately captured. This position collaborates with providers and clinical staff to clarify documentation, resolve coding discrepancies, and promote best practices in outpatient coding and documentation.

Key responsibilities include:

• Maintaining high standards of coding accuracy and productivity
• Supporting compliance initiatives
• Staying current with coding updates, regulatory changes, and payer requirements

This role requires strong knowledge of outpatient coding guidelines, excellent attention to detail, critical thinking skills, and the ability to manage multiple accounts efficiently in a fast-paced environment. This is a per diem position, with availability expected for up to 20 hours or more per week, as needed.

Qualifications

• License/Registration/Certification: CCS, RHIT, RHIA or eligible to test for one of these. Certification must be obtained within 12 months of employment.
• Education: Associates degree in Health Information Management or completion of Coding Specialist Program or equivalent years of work experience.
• Experience: 1 year of coding ICD 10-CM and CPT-4 preferred.

Requirements

• Performs coding and abstracting on outpatient medical records by selecting and documenting ICD 10-CM Diagnoses and CPT procedure codes.
• Assigns correct CM Diagnoses and CPT with coding accuracy rate of 95% or greater.
• Performs abstracting of coding and clinical data (i.e. discharge disposition, discharge date, patient type, etc.) with an accuracy rate of 95% or greater.
• Codes/abstracts 24 Outpatient diagnostic/Breast Center records per hour.
• Codes 12 Emergency department records per hour.
• Codes 24 PHP & Outpatient REHAB Series records per hour.
• Codes 10 Oncology records per hour.
• Codes 4.5 Ambulatory, GI's and Observation records per hour.
• Processes EPIC Dashboard all work Q's-OP Priority, Coding Review Needed, Failed Claims within our 2 day Billed Hold.
• Processes all emails within a 24 to 48 response time.
• Maintains current status of Coding Credentials by annually submitting proof of compliance with AHIMA requirements.
• Completes 30 hours of Continued Education annually.
• Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements (i.e. review charts for Complication/Comorbidity compliance).
• Performs daily verification of records received, adds notes to Accounts for ALL Charts.
• Reviews ALL Scanned and/or Electronic Orders on each record.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!