Medical Records Coder II
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Job Description
Medical Records Coder ensuring quality healthcare data and accurate professional payment at the University of Rochester. Handling coding classification systems with responsibilities on edits, corrections, and reports.
Responsibilities:
- Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment
- Prepares reports for designated leader(s)
- Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow
- Completes system edit reviews to make corrections before transmittal
- Ensures work queue and responsibilities are handled within established guidelines and timeframes
- Troubleshoots problems that prevent claims from being released
- Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem
- Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
- Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays
- Works closely with designated leader to ensure effective communication to resolve invoice payment delays
- As necessary, provides Providers and other staff with information relative to coding
- Responds to coding information requests and inquiries from various sources
- Other duties as assigned
Requirements:
- High School diploma or equivalent and less than 1 year of relevant experience required
- Knowledge of ICD-10CM, CPT and HCPSC preferred
- Working knowledge of medical terminology and anatomy preferred
- American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
- Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred
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