Medical Coding Specialist
4 weeks ago
Job Summary
We are seeking a skilled Medical Coding Specialist to join our team at Montefiore Medical Center. As a Medical Coding Specialist, you will be responsible for reviewing and researching patient medical records to describe the reason for admission, treatment rendered, and diagnoses at discharge. You will apply appropriate codes from disease and procedure coding classifications, such as ICD-10 CM, PCS, and CPT-4, and use associated guidelines and rules to ensure accurate coding and compliance with Federal, State, and commercial insurance requirements.
Responsibilities
- Review and research patient medical records to identify and document reason for care, sequence of events, therapies, procedures, and diagnoses.
- Apply appropriate codes from disease and procedure coding classifications, such as ICD-10 CM, PCS, and CPT-4.
- Use associated guidelines and rules to ensure accurate coding and compliance with Federal, State, and commercial insurance requirements.
- Abstract pertinent clinical data from the record and enter into appropriate data repository for use in billing, research, registries, billing, education, planning, performance improvement, and reporting.
Requirements
- High School Diploma/GED required.
- Candidates must know coding techniques and be familiar with reviewing medical records in an electronic environment.
- Candidates must have satisfactory completion of an industry-recognized curriculum in Coding using ICD-10 CM, ICD-10 PCS/CPT-4.
- Candidates must have a combination of education, knowledge, and experience in a healthcare environment applying coding classifications and grouping methodologies, such as DRGs.
- Candidates must be experienced reviewing and abstracting records for patients in all levels of care in a complex healthcare environment, such as Montefiore.
- Candidates must be able to obtain certified credentials within 1 year of employment if not yet completed at the time of hire.
- Two (2) - five (5) years related experience. Experience in HIM preferred.
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