The Medical Records Coder III functions as an advanced coder responsible for abstraction and in-depth analysis of medical documentation and the assignment of appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies, including ICD-10, CPT-4, HCPCS, and DRG.
Key responsibilities include reviewing codes created by electronic charge capture and/or assigning codes from medical record documentation, reviewing and resolving coding denials, correcting coding-related claim errors, performing system edit checks, abstracting data, reviewing codes for accuracy, and responding to coding information requests.
The role also involves communicating documentation improvement opportunities and coding issues to providers, departments, and designated leaders, and consulting with internal customers and external vendors when documentation appears inconsistent or incomplete.
Required qualifications
- High school diploma or equivalent
- 1 year of medical coder experience
- Knowledge of ICD-10-CM, CPT, and HCPCS
- Working knowledge of medical terminology and anatomy
Preferred qualifications
- Associate's degree in Health Information Technology or a health-related field
- AHIMA RHIA, RHIT, or CCS certification
- AAPC CPC or Practice Management Institute CMC certification
Location
New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago