[Hiring] Medical Records Coder III @University of Rochester

Role Description

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.

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.
• 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.

Qualifications

• High School diploma or equivalent and 1 year Medical Coder experience required.
• Associate's degree preferred.
• Or equivalent combination of education and experience.

Requirements

• Knowledge of ICD-10CM, CPT and HCPSC required.
• Working knowledge of medical terminology and anatomy required.

Benefits

• American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred.
• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred.