Hospital Coder

3 weeks ago

New Scotland, United States Albany Med Full time

Department/Unit:
Health Information Services

Work Shift:
Day (United States of America)

Looking for an Inpatient Coding Specialist. Must have a coding credential through AHIMA or AAPC. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Strong understanding of MS-DRG and NY-APR methodologies.

This position is fully remote, and equipment is provided. Applicant must be able to maintain a remote work location to protect patient information and adhere to both HIPAA and Hospital Privacy policies.

3M 360 necessary. EPIC experience is a plus. Must have experience using a hospital encoder.

Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score.

Essential Duties and Responsibilities include:

  • Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
  • Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
  • Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
  • Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
  • Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
  • Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
  • Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
  • Attends coding meetings and roundtable sessions.
  • Participates in daily huddles and LEAN problem-solving activities.
  • Focused with no distractions while working and participating in meetings.
  • Ensures camera on while attending Teams calls.
  • Assists with organizing the shared drive for the medical coding department.
  • Other duties as assigned by manager.
Qualifications:
  • Coding certification / credential through AHIMA or AAPC and be in good standing. - required
  • High School Diploma/G.E.D. - required
  • Prior experience in hospital medical coding - preferred
  • Prior experience with 3M 360 and EPIC system - preferred
  • Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
  • Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
  • Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
  • Excellent written and verbal communication skills. (High proficiency)
  • Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
  • Detail-oriented and efficient while maintaining productivity.
  • Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Constantly
  • Lifting - Rarely
  • Carrying - Rarely
  • Pushing - Rarely
  • Pulling - Rarely
  • Climbing - Rarely
  • Balancing - Rarely
  • Stooping - Rarely
  • Kneeling - Rarely
  • Crouching - Rarely
  • Crawling - Rarely
  • Reaching - Rarely
  • Handling - Occasionally
  • Grasping - Occasionally
  • Feeling - Rarely
  • Talking - Frequently
  • Hearing - Frequently
  • Repetitive Motions - Frequently
  • Eye/Hand/Foot Coordination - Frequently
Working Conditions
  • Extreme cold - Rarely
  • Extreme heat - Rarely
  • Humidity - Rarely
  • Wet - Rarely
  • Noise - Occasionally
  • Hazards - Rarely
  • Temperature Change - Rarely
  • Atmospheric Conditions - Rarely
  • Vibration - Rarely


Thank you for your interest in Albany Medical Center

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

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