Outpatient Coder

Outpatient Coder / TH Medical Records Specialist

The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist. The successful candidate will:

• Report to the Coding Manager and Director of HIM Department.
• Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS or CPT codes according to established procedures.
• Maintain optimal standards of coding and ensure uniform coding for compliance and reimbursement.
• Ensure the selection of accurate and descriptive codes from the appropriate classification system.
• Ensure confidentiality of data contained in patients' medical records.
• Analyze the information contained in the medical records to ensure that the most appropriate codes are used.
• Query physicians for the appropriate documentation.
• Work collaboratively with all departments and hospital staff.
• Perform other related duties as assigned.

• RHIA or RHIT or CCS or CPC coding certification.
• Ability to make coding decisions based on established coding guidelines.
• Must be able to work independently and be a self-starter.

• BS Degree with related Health Information Management experience.
• 3-5 years direct coding experience in an acute care setting.