Responsible for coding inpatient and outpatient medical records to support data quality, accurate reimbursement, severity of illness/risk of mortality assignment, research, and compliance with federal and state regulations.
Reviews the complete medical record and assigns diagnoses and procedures using ICD-10, PCS, and CPT coding guidelines. Communicates with medical staff through the physician query process when documentation is unclear, conflicting, or incomplete.
Calculates facility E/M levels using designated software and performs charge posting for procedures.
This position is remote, works a standard weekday schedule, and is part of the Health Information Management department.
- Associate of Applied Science in Health Information Technology (Medical Record Technology) required
- Bachelor of Science in Health Information Management or Medical Records Administration preferred
- RHIT required within 6 months of hire or transfer, if applicable
- RHIA required within 6 months of hire or transfer for candidates with a BS in HIM/Medical Records Administration
- CCS preferred or required to maintain for certain incumbents
- CPC may be accepted for grandfathered employees without HIM/Medical Records degrees
- 1 year of coding experience with ICD-10, PCS, CPT, and DRG/APC assignment in an acute care facility preferred
- Experience with computerized encoding and grouping software preferred
- 6 months of ICD-10 continuing education credits required
- 1 year of Microsoft Windows/Office experience and computer proficiency required
- Must pass an ICD-10 coding assessment
Location
Buffalo, New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago