Performs coding in accordance with Adirondack Health, CMS, and AMA coding guidelines across inpatient, ambulatory surgery, referred outpatient services, and professional services for employed or contracted providers at Adirondack Health campus locations.
Medical records are reviewed and accurately coded using ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS, and Evaluation and Management codes. Inpatient records are classified to the correct MDC/DRG based on the applicable financial class payment methodology, and ambulatory surgery records are reviewed through the APC finder for edits and grouped into APC or APG.
Correct Coding Initiative (CCI) edits and medical necessity edits are generated on coded cases, and the coder works these edits to support clean claims submission.
High school diploma or equivalent.
At least one professional coding certification through AAPC or AHIMA.
Thorough understanding of anatomy and physiology and medical terminology.
At least seven years of demonstrated certified medical coding experience.
Moderate interpersonal skills to interact with Medical Staff, Administration, and Quality Management, including quality, risk, CDI, and Core Measures teams.
Medical, dental, and vision insurance
Paid benefit time (PTO and sick days)
Tuition reimbursement
403(b) retirement plan with employer contributions
And much more
Location
New York, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago