Codes acute hospital inpatient, SNF, and rehab records to support accurate reimbursement, research, and compliance with federal regulations. Also codes ambulatory, ER/urgent care, interventional radiology, and same-day surgery records as needed. Reviews the full medical record to assign diagnoses and procedures using ICD-10-CM and CPT, queries physicians when documentation is unclear, and participates in the Clinical Documentation Improvement (CDI) team.
Requirements & Qualifications
Education and certification
- B.S. in Health Information Management or AAS in Health Information Technology preferred
- RHIA or RHIT certification required or eligible candidate enrolled in an HIT or HIM program
- CCS preferred; experienced coders with CCS credentials may also be considered
- Successful certification within one year of hire or graduation, whichever is later
- Must pass the Catholic Health coding test
- Must maintain AHIMA continuing education requirements
Experience
- Six months of coding experience in an acute care facility preferred
Skills and abilities
- Strong knowledge of ICD-10-CM, CPT, medical terminology, anatomy, and physiology
- Ability to read medical records and enter diagnoses, procedures, and patient data accurately
- Ability to query physicians for clarification when documentation is incomplete
- Strong analytical, organizational, and prioritization skills
- Effective written and interpersonal communication skills
- Proficiency with computers, software, and electronic record systems
- Ability to meet deadlines and generate reports
- Willingness to participate in CDI team training, meetings, and activities
Location
Buffalo, New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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