Experienced Outpatient Medical Record Coder

Job Description - Experienced Outpatient Medical Record Coder (2602308)

Experienced Outpatient Medical Record Coder

Position Summary

At Stony Brook Medicine, the
Experienced Outpatient Medical Record Coder
will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes.

Duties of a Experienced Outpatient Medical Record Coder may include the following but are not limited to:

• Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment
• Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses
• Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services
• Follow all HIPAA regulations and uphold a high standard around privacy requirements
• Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting
• Demonstrates proficiency with Microsoft Office Applications, Citrix, and Adobe Reader in using required computer systems with minimal assistance
• Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding
• Must meet all coder productivity and quality goals
• Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects
• And other duties as assigned

Qualifications

Required Qualifications:

Associate’s degree, at least 5 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification
OR, in lieu of a degree,

• At least 8 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification
  OR
• At least 10 years of outpatient facility coding experience

Preferred Qualifications:

5 or more years of facility outpatient procedure coding experience

Bachelor’s degree in a non-clinical Health Care related field such as HIM, Health Sciences, or Health Informatics

Facility coding experience in an Academic Medical Center

Experience coding emergency room observation encounters

Experience coding injections and infusion for facilities

Experience with surgical procedure coding of all specialties

Special Notes
:

Posting Overview
:

This position will remain posted until filled or for a maximum of 90 days.

An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

• Stony Brook Medicine is a smoke free environment.
  
  Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions maybe subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position may be designated as 'essential.' This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to…