Come and join our growing organization as a Medical Coder - Certified!
Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment.
The Medical Coder position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week.
As the Medical Coder you are responsible for reviewing medical records to assure proper billing of the medical service, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical record.
Responsibilities:
- Meet coding accuracy standards within 90% to 95% as well as coding productivity standards.
- Review, re-code and appeal denials for all specialties including inpatient, outpatient, physician, pathology, and infusion charts as necessary.
- Review discharge summary, history and physical, progress notes, consultation reports, operative records, inpatient hospital records to accurately assign diagnosis and/or procedure codes.
- Utilize standard coding guidelines, principles, and coding clinics to assign appropriate ICD-10-CM and CPT codes.
- Use computer applications essential to completing the coding process efficiently.
- Correct errors after reviewing medical records and comparing with system entries; investigate payer coding rules, complete insurance claim appeals, submit supporting documentation, track, and follow up.
- Assign Risk Adjustment diagnoses by thorough review of all documentation using knowledge of anatomy, physiology, terminology, and pathology.
- Interpret medical information to accurately assign and sequence ICD-10-CM and CPT codes.
- Review state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize denials.
- Stay updated on laws and regulations governing coding by reading bulletins, newsletters, and attending workshops.
- Educate and advise staff on proper code selection, documentation, procedures, and requirements.
- Identify training needs, prepare training materials, and support staff to improve skills.
- Participate in monthly coding meetings, sharing ideas for operational improvements.
- Maintain continuing education by reviewing updated CPT guidelines and coding clinics.
Requirements:
- CPC (Certified Professional Coder) or CMC (Certified Medical Coder) certification required.
- 1-3 years of specialty coding experience (e.g., Urology, ENT, Dermatology, Pulmonology, Breast Health & Oncology).
- Experience with EMR and billing systems such as Medent and ONCO preferred.
- Working knowledge of medical terminology, CPT, and ICD-10 coding.
- Familiarity with medical office procedures.
Salary Description: $23.00-$30.00/hour
Benefits:
- Monday-Friday schedule
- Medical, dental, and vision coverage
- Employer funded Health Reimbursement Account (HRA)
- 401(k) with company match
- Generous vacation and sick time
- Company-paid life insurance
- 11 paid holidays
- CPC (Certified Professional Coder) or CMC (Certified Medical Coder) certification required.
- 1-3 years of specialty coding experience in areas such as Urology, ENT, Dermatology, Pulmonology, Breast Health & Oncology.
- Experience with EMR and billing systems like Medent and ONCO preferred.
- Working knowledge of medical terminology, CPT, and ICD-10 coding.
- Familiarity with medical office procedures.
- Monday-Friday schedule
- Medical, dental, and vision coverage
- Employer funded Health Reimbursement Account (HRA)
- 401(k) with company match
- Generous vacation and sick time
- Company-paid life insurance
- 11 paid holidays
Location
Buffalo, New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 months ago