• Medical Coder II - Inpatient - Full Time - Days

    Mohawk Valley Health System (Utica, NY)


    Medical Coder II - Inpatient - Full Time - Days

     

    Department: CODING

    Job Summary

    Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.

     

    Core Job Responsibilities

     

    + Assign the appropriate DRG based on an analysis of the patient file and medical necessity

    + Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer

    + Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers

    + Initiate and follow up on queries with providers

    + Abstract data elements and compile data for statistical reports

    + Provide education based on recognized trends, including physician documentation

    + Assist departments with diagnostic and procedural coding

    + Respond to Insurance, compliance and RAC denials

    + Review and assist in the maintenance of coding related policies and procedures

    + Mentor new staff

    + Perform other duties as required.

     

    Education/Experience Requirements

    REQUIRED:

    + AS in Health Information Management, a related degree or equivalent experience

    + RHIA, RHIT, CCS, CCA, CPC, CIC Certification

    + Knowledge of EMR, Coding software, and Microsoft Office

    + Knowledge/understanding of Patient Safety Indicators (PSI), present on admission reporting requirements, and Hospital Acquired Conditions (HAC) and impact on quality and reimbursement

    + Knowledge/understanding of SOI/ROM methodology

    + Good Oral and Written Communication

    PREFERRED:

    + BS in Health Information Management

    + Knowledge of Epic, 3M encoder, CDI Collaborate and Microsoft Office

    + 2 years of hospital coding experience

     

    Licensure/Certification Requirements

    REQUIRED:

    + RHIA, RHIT, CCS, CCA, CPC, CIC Certification or the ability to obtain

     

    Disclaimer

     

    Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

     

    Successful candidates might be required to undergo a background verification with an external vendor

    Job Details

    Req Id 94256

     

    Department CODING

    Shift Days

    Shift Hours Worked 7.50

     

    FTE 0.94

     

    Work Schedule HRLY NON-UNION

     

    Employee Status A1 - Full-Time

     

    Union Non-Union

     

    Pay Range $23 - $35/Hourly