CERTIFIED MEDICAL RECORDS CODER II

Under general direction, The Certified Medical Records Coder II audits, and verifies accurate and complete data regarding diagnoses, treatments, tests, surgical procedures, and related information of patients to obtain appropriate reimbursement.

Codes diagnoses and procedures using standardized classification systems (e.g., ICD-10, CPT-4, etc.), updated billing references.

In coordination with physician, nursing, and other clinical staff, ensures that data is complete and supports codes assigned for optimal reimbursement, compliance with Federal State and private industry mandates, performs related duties.

Responsibilities for this position include but are not limited to :

Identify and review diagnostic tests results and treatment procedure information to correct various coding errors.

Ensure compliance with State and Federal regulations. Identify and report for various state requirements.

Review medical records to ensure data is complete and supports procedures reported. Determine and apply appropriate billing mechanisms (LOA) etc.

Participate in various programs that affect coding, clinical data and billing optimization.

Collaborate with the departments to achieve documentation that supports the services rendered.

Assist in research and other analytical projects such as evaluate billing and coding practices within departments. Assist physicians in documentation issues and in providing data.

Initiates and conducts analysis of coding trends to identify missing, incomplete, or questionable data.

Maintain coding skills and knowledge of changing regulations.

Requirements / Qualifications :

High School Diploma / GED required; bachelors preferred.

1 year of related work experience.

Knowledge of medical terminology, anatomy and principles and procedures of coding for various classifications

CPC Certification Required Must maintain their annual credits mandated by the AMA

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For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the Montefiore Difference who we are at Montefiore and all that we have to offer our associates, please click .

Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture.

We welcome your interest and invite you to join us.

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

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