As an inpatient and outpatient facility coder, you will review medical records and assign accurate diagnosis and procedure codes across inpatient, outpatient, emergency department, ancillary, and surgical encounters. You will work collaboratively with physicians, auditors, and healthcare stakeholders to support coding accuracy, compliance, and quality outcomes.
- Review documentation and assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS.
- Interpret inpatient, outpatient, emergency department, ancillary testing, and ambulatory surgery records.
- Communicate with physicians and other providers to clarify diagnoses and procedures through the query process.
- Use an electronic encoder in alignment with policies, regulations, and coding guidelines.
- Perform peer reviews of coding auditors and coders.
- Complete reports, audits, and other coding-related duties as assigned.
- Maintain high accuracy and productivity standards.
- Support quality improvement initiatives through coding reviews, audits, and education.
Requirements & Qualifications
- AHIMA CCS or CPC certification required.
- Minimum of 3 years of facility-based coding experience.
- Experience with ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS.
- Level-1 trauma coding experience required.
- Experience coding both inpatient and outpatient facility records.
- Strong understanding of inpatient MS-DRG assignment and outpatient reimbursement methodologies.
- Experience with emergency department, ambulatory surgery, interventional, and ancillary records.
- Experience using electronic coding encoders and facility coding workflows.
- Knowledge of federal, state, and payer regulations.
- Ability to interpret medical records, operative reports, diagnostic results, and chart documentation.
- Strong communication, organization, and time-management skills.
- Proficiency with Microsoft Word, Excel, and Outlook.
- EPIC experience and coding audit/peer review experience are preferred.
Benefits & Perks
- Medical, dental, vision, and life insurance
- Paid holidays and paid time off
- 401(k) plan and company contributions
- Long-term and short-term disability coverage
- Paid parental leave
- Employee stock purchase plan
- Eligibility for discretionary annual incentive program and stock awards
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago
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