Medical Records Coder III

The University of Rochester is seeking a Medical Records Coder III to review and validate coding for accuracy, support claims processing, and help resolve coding-related denials.

This role is based at 2619 W Henrietta Rd, Rochester, NY 14623 and is part of the Health Information Management - Coding department.

Key Responsibilities

• Review codes for accuracy in accordance with coding rules and policies.
• Perform system edit reviews and correct issues before transmittal.
• Use knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes from medical record documentation.
• Troubleshoot problems that prevent claims from being released and resolve issues by reviewing patient encounters.
• Identify the cause of coding edits and provide feedback for correction and follow-up.
• Abstract data and review codes for accuracy when needed.
• Ensure accurate reimbursement based on guidelines and/or abstraction of provider documentation.
• Respond to coding information requests and inquiries from various sources.
• Consult with internal customers and external vendors when documentation is inconsistent or incomplete.
• Perform other duties as assigned.