Associate Medical Records Specialist
3 weeks ago
NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Job Responsibilities:
- Responsible for the review of inpatient medical records to determine the correct principal diagnosis and procedure, secondary diagnosis and procedures; Assign appropriate ICD-10-CM codes to selected diagnosis, conditions and procedures and data entering the same into computer abstract using 3M encoder software, sequencing codes and validating other/specific data elements to assign correct DRG assignments to optimize hospital reimbursement and SOI.
- Designate appropriate present on admission indicator status on all diagnosis coded.
- Placed selected DRG assignments on "hold" status and set aside to facilitate DRG validation.
- Refer and discuss problematic cases to DRG Validators or manager for input, prior to finalizing case to ensure accuracy.
- Discuss cases in question with appropriate members of the medical staff, as needed.
- Assist with mandatory city and state sterilization, dementia and congenital anomalies, where appropriate.
- Remain abreast of all coding and DRG changes and updates.
- Participate in quality improvement activities and perform other duties of the department as required.
Minimum Qualifications
1. 1. Bachelor's Degree from an accredited college or university in a Health Information Administration (HIA) or Health Information Technology (HIT) program accredited by the American Health Information Management Association (AHIMA) and six (6) months experience in coding and abstracting medical records in a recognized hospital or health care organization; or
2. High School diploma or its educational equivalent; and
3. Completion of a coding, medical record technology or health information technology program approved by the American Health Information Management Association (AHIMA) and one (1) year of experience in coding and abstracting medical records in
a recognized hospital or health care organization, six (6) months of which must have been in a supervisory capacity; or
4. Possession of a valid certificate as a Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) and one (1) year of experience in coding and abstracting medical records in a recognized hospital or health care organization, six (6) months of which must have been in a supervisory capacity; or
5. Three (3) years of satisfactory experience in coding and abstracting medical records in a recognized hospital or health care organization, one (1) year of which must have been in a supervisory capacity.
6. A satisfactory equivalent. However, all candidates must be high school graduates or possess a high school equivalency diploma.
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Loan Forgiveness Programs for eligible employees
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discounts programs
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