Medical Records Specialist

4 weeks ago


New York, United States NYC Health + Hospitals Full time

About NYC Health + Hospitals

Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered. Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women’s Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority. 

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.

Visit us at .

Job Description

Medical Records Specialist under the supervision of the Associate Executive Director and/or Manager of the Revenue Initiatives Department is responsible for competently, accurately, and correctly assigning ICD-10CM diagnostic procedural codes, CPT, and HCPCS codes for the purpose of reimbursement, educational and statistical information.

RESPONSIBILITIES/PROCEDURES:

With thorough knowledge of the duties to be performed:

Thoroughly reads and interprets the documentation contained in every medical record to identify all diagnoses and procedures to which codes must be affixed. Input coded information into 3M encoding system. Refers to Supervisor on issues with documentation. Supervisor will consult with the appropriate physician when conflicting or ambiguous information appears in the medical record, so the medical record documentation may be clarified. Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, principal procedure and other diagnoses and procedures, which require coding. Selects the appropriate principal diagnosis for episodes of care in which determination of the principal diagnosis is not clear-cut because the patient has multiple problems. Coder must refer to Clinical Coding addition, coder must query provider Assesses the adequacy of documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbidity conditions assigned codes. Applies sequencing guidelines so the chronology of patient care events can be understood by reviewing the assigned codes. Performs coding for Lincoln encounters Applies appropriate ICD10 Diagnostic Codes Applies appropriate CPT Procedure Codes  Identify any discrepancy in documentation and escalate to supervisor Assist with clinical pertinence, chart analysis, and other HIM functions. Maintains LMMHC and HIM Safety Program, Quality Improvement Program, and In-Service Program. Assist with other related functions within the scope of the Medical Records Specialist.

Minimum Qualifications

1. High School diploma or its educational equivalent; and 
2. Completion of a coding, medical record technology or health information technology 
program approved by the American Health Information Management Association 
(AHIMA); or 
3. Possession of a valid certificate as a Certified Coding Specialist (CCS) from the 
American Health Information Management Association (AHIMA); or 
4. Two (2) years of satisfactory experience in coding and abstracting medical records in a 
recognized hospital or health care organization.

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume, noting the above Job ID #, to:

Lincoln Medical & Mental Health Center
Human Resources Department
234 Eugenio Maria De Hostos Blvd, (East 149th Street),
2nd Floor, Annex
Bronx, NY 10451
Attn: Recruitment Unit

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

  • New York, United States NYC Health + Hospitals Full time

    **About NYC Health + Hospitals**: Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of...


  • New York, United States NYC Health Hospitals Full time

    NYC Health + Hospitals/Gouverneur provides primary and specialty outpatient care through its Diagnostic and Treatment Center (D&TC) and residential care for the elderly and infirmed in its 295-bed Skilled Nursing Facility (SNF). Gouverneur recently completed a $250 million modernization project to offer enhanced, cutting edge healthcare services in a state...


  • New York, United States NYC Health Hospitals Full time

    NYC Health + Hospitals/Gouverneur provides primary and specialty outpatient care through its Diagnostic and Treatment Center (D&TC) and residential care for the elderly and infirmed in its 295-bed Skilled Nursing Facility (SNF). Gouverneur recently completed a $250 million modernization project to offer enhanced, cutting edge healthcare services in a state...


  • New York, United States NYC Health Hospitals Full time

    Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...


  • New York, United States NYC Health Hospitals Full time

    Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...


  • New York, United States NYC Health Hospitals Full time

    Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical...


  • New York, United States NYC Health + Hospitals Bellevue. Full time

    We are seeking a detail-oriented Supervising Medical Records Specialist to join our team. **Duties**: - Responsible for 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...


  • New York, United States NYC Health Hospitals Full time

    NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality...


  • New York, United States NYC Health Hospitals Full time

    NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality...


  • New York, New York, United States Kansas State University Full time

    Medical Records Specialist Department: Lafene Student Health Center Job no: 517367 Employment type: Staff Full Time (USS) Location: Manhattan, Kansas Worksite: On-site requirement Categories: Administrative / Professional, Health Profession Pay Grade: 05AAbout This Role:This position provides support services to our Medical Clinic and Counseling &...

  • Records Specialist

    1 month ago


    New York, United States Verland Full time

    Description Verland is currently seeking a Records Specialist. The Records Specialist is responsible for managing all of our resident individuals’ records and histories as well as maintaining an organized, accurate and complete system of resident individual’s records. Under the supervision of the Risk & Records Manager, the Records Specialist will...


  • New York, United States NYC Health Hospitals Full time

    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...


  • New York, United States Private Medical Full time

    **Shift**: Monday-Friday traditional business hours (e.g., 8am-430pm) - EST/eastern time **Who are we?** Private Medical has spent the last 20 years creating a new category of concierge medicine — _private medicine_ — by designing a system that honors the relationship between patients, physicians, and each member of the care team. Based in California,...


  • New Albany, United States SCA Health Full time

    Overview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...


  • New Albany, United States SCA Health Full time

    Overview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...


  • New Albany, United States SCA Health Full time

    Overview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • Medical Records Clerk

    2 weeks ago


    York, United States SeniorLIFE of PA Full time

    Responsible for routine clerical support related to maintenance of a complete and comprehensive member record. Responsibilities include: - Assure that all medical record information is protected and kept confidential. - Maintain Records for Specialist Appointments, Hospitalization Documentation, and SNF/ALF Documentation - Retrieve lab and diagnostic...


  • New Albany, IN, United States SCA Health Full time

    Overview: Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of...


  • New York, United States NYC Health + HospitalsMetropolitan Full time

    **Job Overview**: **Duties and responsibilities**: A. Assigns all principal, secondary diagnoses ICD-10-CM codes utilizing the 3M-HDM coding system to all Emergency Room encounters for hospital reimbursement. B. Assigns procedural codes on Ambulatory Surgery cases according to CPT4 coding guidelines. C. Assist with the Emergency Room/Observation and...


  • New York, United States Mount Sinai Full time

    **Description** Responsible for oversight of day to day Medical Records activities, including medical record number validation/merges, record retrieval, release of information, record completion, physician assistance, death certificates, chart assembly and transcription activities. Works with physicians, Information Technology and other department staff...