Medical Billing and Coding

• Perform abstraction and in-depth analysis of medical documentation
• Assign appropriate procedural terminology and medical codes, including ICD-10, CPT-4, HCPCS, and DRG
• Analyze, enter, and manipulate databases
• Respond to and clarify internal requests for medical information
• Review codes created by electronic charge capture and assign codes through medical record documentation
• Review and resolve coding denials
• Resolve claims errors related to improper coding and provide feedback for correction and follow-up
• Abstract data and review codes for accuracy
• Perform system edit checks and correct errors
• Respond to coding information requests
• Communicate documentation improvement opportunities and coding issues to providers, departments, and designated leaders
• Consult internal customers and external vendors to clarify inconsistent or incomplete documentation
• Perform other duties as assigned

Medical Records Coder III

• Abstract and analyze medical documentation
• Assign appropriate procedural terminology and medical codes according to coding rules and policies
• Analyze, enter, and manipulate databases
• Respond to and clarify internal requests for medical information
• Review codes created by electronic charge capture and assign ICD-10-CM, E/M, CPT, HCPCS, and modifier codes
• Review and resolve coding denials
• Resolve claims errors related to improper coding and provide correction and follow-up feedback
• Abstract data and review codes for accuracy
• Perform system edit checks and correct errors
• Respond to coding information requests
• Communicate documentation improvement opportunities and coding issues to providers, departments, and designated leaders
• Consult internal customers and external vendors for clarification of inconsistent or incomplete documentation
• Perform other duties as assigned

• Apply inpatient coding and classification systems and official resources to select appropriate diagnosis, procedural (PCS), and other healthcare service codes
• Sequence diagnoses and procedures according to ICD-10-CM/PCS, UHDDS, Medicare, Medicaid, and fiscal intermediary guidelines
• Support accurate reporting of healthcare data elements for reimbursement, value-based purchasing, population health, quality, patient safety, research, and other administrative purposes
• Query physicians or qualified healthcare practitioners for clarification or additional documentation regarding conflicting, incomplete, or ambiguous health record information
• Maintain ethical and legal coding practices and comply with internal coding policies and procedures
• Advance coding knowledge through continuing education and meet continuing education requirements
• Use official coding rules and guidelines to accurately represent patient services on hospital claims
• Attend coding meetings and roundtable sessions
• Participate in daily huddles and LEAN problem-solving activities
• Maintain focus during work and meetings and keep camera on during Teams calls
• Assist with organizing the medical coding department shared drive
• Perform other duties assigned by the manager

Inpatient Hospital Coder

• Apply inpatient coding and classification systems and official resources to select diagnostic, procedural (PCS), and other healthcare service codes
• Select and sequence codes accurately to obtain legally entitled reimbursement
• Use a computerized encoding system
• Sequence diagnoses and procedures according to ICD-10-CM/PCS, UHDDS, Medicare, Medicaid, and fiscal intermediary guidelines
• Support complete and accurate reporting of healthcare data elements for reimbursement, value-based purchasing, population health, quality, patient safety, research, and other administrative purposes
• Query physicians or qualified healthcare practitioners for clarification or additional documentation
• Maintain continuing education and coding knowledge
• Apply official coding rules and guidelines to hospital claims
• Comply with internal coding policies and procedures
• Attend coding meetings and roundtable sessions
• Participate in daily huddles and LEAN problem-solving activities
• Maintain focus during work and meetings and keep camera on during Teams calls
• Organize the medical coding department shared drive
• Perform other duties assigned by the manager

• Code and abstract medical records according to established guidelines
• Perform limited analysis, including validation that appropriate documentation substantiates coding
• Use HIM software including Solventum (formerly 3M) 360 Encompass, EPIC, CloudMed, Iodine, and SmarterDx
• Code and abstract to the highest level of specificity
• Apply AHA Coding guidelines for ICD-10-CM and ICD-10-PCS
• Maintain a quarterly accuracy rate of 95% or higher
• Perform follow-up within the timeframe set by the Coding Manager
• Follow escalation policy to ensure timely billing
• Perform physician queries as needed
• Complete annual department/hospital competency requirements in NetLearning
• Attend staff meetings and education sessions
• Maintain accreditations
• Perform other related duties as assigned

Coder, Inpatient Level III

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes.
• Apply reimbursement methodologies to assigned charts to optimize reimbursement and/or resolve regulatory edits.
• Resolve billing-process error reports, identify error patterns, and assist with workflow changes to reduce billing errors.
• Review inpatient records to identify and assign diagnosis and procedure codes.
• Utilize Care Connect, UDS, and Clintegrity systems to obtain ICD-10 codes and DRG assignments.
• Formulate compliant Physician Coding Queries when documentation is inadequate, ambiguous, or unclear.
• Correct failed claim errors, billing edits, misclassified accounts, and other audit-identified errors.
• Assist physicians and clinical quality staff with documentation opportunities, coding reimbursement issues, and quality improvement review.

Medical Billing and Coding jobs in New York

Medical Records Coder III

Medical Records Coder III

Inpatient Hospital Coder

Inpatient Hospital Coder

Coder, Inpatient Level III

Coder – Outpatient