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Medical Coder - Outpatient Experience

Medical Coder - Outpatient Experience

Mohawk Valley Health SystemUtica, NY, United States
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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 diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
  • Audit charges and establish proper coding in collaboration with providers
  • Initiate and follow up on queries with providers
  • 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
  • Perform other duties as required.

Education / Experience Requirements

Required :

  • AS in Health Information Management , a related degree or equivalent experience
  • Knowledge of EMR, Coding Software, and Microsoft Office
  • Knowledge / understanding of modifiers, medical necessity & CCI edits
  • Good Oral and Written Communication
  • Preferred :

  • BS in Health Information Management
  • Knowledge of Epic and 3M software
  • Licensure / Certification Requirements

    PREFERRED :

  • RHIA, RHIT, CCS, CCA, CPC, CIC Certification
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    Medical Coder • Utica, NY, United States