Remote Medical Staff Credentialing Jobs in Rochester, NY

Job Summary

The Coder I position is responsible for accurate coding, abstracting, claims filing, documentation review, and claims denial processing working from the appropriate documentation in the medical record. The coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The coder also has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department.

Essential Job Responsibilities Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnoses and procedures. Uses the computerized encoding system to facilitate accurate coding according to the appropriate classification system. Sequences diagnoses and procedures by following ICD‐10‐CM, ICD‐10‐PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‐trained to assist with backlog in any needed focus‐coding group.

Works cooperatively with medical staff and other healthcare professionals to obtain documentation, ensuring optimal hospital payment and accurate data input. Prepares workload reports and participates in department continuous quality improvement studies. Abstracts medical data from the record to complete discharge data abstracts for each outpatient. Completes and verifies diagnostic, demographic, and other information for submission to KHDS. Reviews, verifies, and initiates necessary correction processes for data quality review.

Participates in medical record documentation auditing to monitor physician compliance with regulatory requirements. Communicates and advises other hospital personnel on coding and DRG assignment. Meets established quality and productivity standards. Adheres to all hospital and departmental policies, procedures, and regulations, including attendance. Performs other related duties as assigned or requested. Requires ability to concentrate and maintain accuracy despite frequent interruptions and/or distractions, and sit for long periods.

Must be able to follow instructions and use sound judgment. Requires close mental and visual attention to details, as well as excellent verbal and written communication skills. Can handle frustration and interaction with others in a professional manner. Requires self‐motivation to complete work assignments in a timely, accurate manner. Maintains ongoing registration and continuing education for applicable credentials. Performs other duties as needed or assigned.

Maintains regular and reliable attendance, which is an essential function of this position. Job Qualifications High School Diploma or equivalent. Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator, or credentialing through AAPC (or in progress).

Preferred:

Radiation oncology experience. Associate's or Bachelor's Degree in Health Information Management. 3M Coding Solution knowledge. Remote work or work‐from‐home is available following completion of an onboarding training program. The individual must live within Kansas or Missouri and will be required to attend on‐site meetings as scheduled. Regular and reliable attendance is an essential function of this position.

Benefits

Tuition reimbursement to support continuing education. Professional development and recognition. Excellent benefits package.

Location

Must live in Kansas or Missouri within driving distance of Lawrence, KS. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.