Medical Coder Jobs in Terryville, NY

Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process 8.Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment 9.Assigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets. 11.Assigns appropriate discharge physician in the system. 12.Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations. 13.Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. 14.Completes standardized tasks that are guided by policies, procedures, guidelines and precedent to provide ongoing function support. 15.Makes routine and few non-routine decisions with some latitude, but still subject to approval. 16.Ensures timely and accurate performance of responsibilities; produces quality results with work frequently reviewed. 17.Elevates questions, problems and significant challenges to more senior team members for direction or subject matter expertise on new or unprecedented assignments. 18.Performs related duties, as required. * ADA Essential Functions Job Qualification * High School Diploma or equivalent required. * 1-3 years of technical experience, required. * CCS, CCA, CPC, RHIT, RHIA preferred * Prior outpatient emergency room coding experience, preferred. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Position Responsibilities: * Thoroughly read and interpret the documentation contained in every medical record to identify all diagnoses and procedures to which codes must be affixed. * Assess the adequacy of documentation to ensure that it supports the principle diagnosis, principle procedure, complications and comorbid conditions assigned codes. * Demonstrates a strong familiarity of diagnostic and procedural terminology. * Ability to apply knowledge of disease processes and to index medical terms/procedures to the appropriate class in the classification system. * Apply knowledge of ICD-10-CM instructional notations and conventions to facilitate location of the correct code (s) for each episode of care. * Facilitate comprehensive retrieval by recognizing when more than one code is required to adequately code a given condition. * Apply knowledge of ICD-10-CM coding principles to completely and correctly code episodes of patient care. * Enter and edit patient data for assigning DRG's in the Grouper, following approved guidelines for coding and sequencing. * Enter and edit patient data into computerized abstracting system for in-patients and outpatients as assigned. * Utilize accurate CPT codes for the procedural coding of ambulatory surgery patients. * Follow all coding guidelines, rules and regulations when assigning codes. * Adheres to all organizational policies and procedures Position Requirements: * High School Diploma or GED * CCS or CCS-P required * Minimum one year experience with hospital acute care, inpatient ICD-10-CM and CPT Coding. Salary Range USD $28.00 - USD $45.00 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

HumanHire is working with a rapidly expanding healthcare management organization with a strong reputation for innovation and excellence in search of a Senior Medical Coder for their growing team. This role offers a competitive salary, excellent benefits, and opportunities for career advancement in a collaborative and supportive environment. What’s In It For You? Benefits: Health, dental, vision, 401(k), and more Culture: Join a reputable medical practice that fosters growth and teamwork Location: Melville, NY Pay Range: Up to $80k Key Responsibilities: Review provider documentation to assign accurate codes for diagnoses, procedures, and services, ensuring compliance with billing regulations. Code and validate outpatient, inpatient, and surgical charts, maintaining productivity standards and updating codes for accuracy. Advise healthcare providers on selecting appropriate CPT codes and ensure correct billing for telehealth services. Stay informed on coding guidelines, including special rules and adjustments, and resolve coding discrepancies to maintain compliance. Qualifications: High School Diploma required, Associate preferred Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or equivalent certification. Full knowledge of ICD-10-CM, CPT coding guidelines, and billing procedures.At least 2 years of relevant experience Strong communication and organizational skills to manage multiple tasks effectively. If you are interested, please apply to this posting with your resume and a recruiter will reach out within 48 hours if qualified. Thanks! If this is not the ideal position for you but are still interested in hearing about what other job opportunities are in your area, please visit ******************** and email your resume to *********************! HumanHire is a national executive search and staffing firm who with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have cultivated long-lasting relationships and utilize them to connect our candidates and clients in several industries and job functions: Human Resources Customer Service Administration Finance & Accounting Operations Executive Search Healthcare Information Technologies Supply Chain & Logistics Legal Real Estate Sales & Marketing

Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit ********************** Summary: Amplify, an Ovation Healthcare company is seeking a same day surgery coder with at least three years of experience. The SDS coder is responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement. Duties and Responsibilities: * Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. * Submit necessary provider queries to resolve documentation discrepancies. * Perform quality assessment of records, including verification of medical record documentation. * Review appropriate charges and make changes or recommendations based on the documentation. * Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. * Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable. Knowledge, Skills, and Abilities: * Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment. * Must be able to pass a coding assessment. * Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. * Ability to multi-task and have excellent communication skills. * Must meet and maintain a 95% quality accuracy rate and productivity standards. * Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics. * Must have experience working in a remote environment. Work Experience, Education, and Certifications: * AHIMA/AAPC Credentials Required. * Five or more years of Auditing experience. * Physician surgery coding experience preferred.

Full Time Day Mon-Fri 8a-4p Responsible for diagnosis coding for all Laboratory records according to established guidelines. Assists with Laboratory Outreach registrations as the need arises. ICD-10 Coding coordination and follow-up with physician offices. Performs other duties as assigned. Essential Functions and Responsibilities Includes the Following: Understands and adheres to the Performance Standards, Policies and Behaviors. Review and confirmation of all Outreach Laboratory requisitions for appropriate diagnosis coding. Enters appropriate ICD-10 diagnosis codes in the HIS. Coordinate contacts with physician offices for diagnosis and/or ICD-10 codes if not provided on the referring prescription. Documents phone conversation with physician’s office according to Medicare guidelines. Assists MLW Billing Liaison with patient/client follow-up. Consult with Client Service Rep on client ICD-9 coding education issues. Assists with Outreach Laboratory Registrations as the need arises. Performs other duties as assigned. Performs all other related duties as assigned. Education & Experience Requirements High School Graduate capable of typing 45 wpm. Previous hospital experience preferred. Knowledge of CPT-4 and ICD-10 codes preferred. Medical terminology required. Core Competencies Flexibility Organized Adaptability Attention to Detail Stress Tolerance Physical/Mental Demands/Requirements & Work Environment May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc. Ability to remain in stationary position 90% of the time Constantly utilizes/operates computer and other office equipment Primary Population Served Check appropriate box(s) below: Neonatal (birth – 28 days) Patients with exceptional communication needs Infant (29 days – less than 1 year) Patients with developmental delays Pediatric (1 – 12 years) Patients at end of life Adolescent (13 – 17 years) Patients under isolation precautions Adult (18 – 64 years) Patients with cultural needs Geriatric (> 65 years) All populations Bariatric Patients with weight related comorbidities ☒ Non-patient care population The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of Hospital. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Current Saint Francis Employees - Please click HERE to login and apply. Part Time Schedule: Candidates must be available for a minimum of 20 hours per week Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as assigned in order to apply the appropriate diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Minimum Education: Commensurate education with achieving qualifications to sit for Certification Exam(s) as related to ICD-10, CPT and other related specialty certifications. Licensure, Registration and/or Certification: Certified Coder through AAPC, AHIMA, BCHH-C, HCCS for Home Health or National Healthcare Association. Applicants who have not yet achieved a coding certification may be considered when work experience is at least two years. The applicant will need to obtain the certification within one year of hire. Work Experience: 5 years related experience including a demonstrated thorough understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. Requires experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded. Knowledge, Skills and Abilities: Basic computer and encoder skills. Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner. Uses good judgment when determining whether a record is complete enough to code or should be held for more documentation. Ability and requires maintaining continuing education credits for credentialed coders, stays updated on coding rules, attends seminars and reviews and coding periodicals. Ability to be cooperative, dependable and responsive to the changing nature of the coding workflow. Ability to be flexible when asked to do different assignments. Essential Functions and Responsibilities: Codes as assigned from review of medical record documentation. Applies knowledge of current coding and billing requirements to assure claims are submitted correctly. Monitors coding and billing performance and resolves denials related to coding errors. Performs review for charge corrections and rebilling as required for resolution of coding denials. Develops preventative measures in response to patterns identified through analysis of claims denial data; prepares periodic reports for clinical staff, identifying corrective measures to resolve denial problems. Advises and instructs providers regarding documentation and billing policies, procedures and regulations; interacts with providers regarding conflicting, ambiguous or none-specific documentation, obtaining clarification of same. Educates provides and office staff regarding documentation coding and billing changes and regulations to assure compliance with local, state and national policies. Works collaboratively with providers, office staff, billing personnel, quality department and compliance, and coding resources to ensure accurate coding. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationships: Works with internal customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Health Information Ambulatory Coding - Yale Campus Location: Tulsa, Oklahoma 74136 EOE Protected Veterans/Disability

Company: PsychiaTreat About Us: At PsychiaTreat, we are committed to enhancing mental health services through quality care and innovative approaches. We are currently seeking a knowledgeable and experienced Senior Medical Coder to join our team. This role is vital in ensuring accurate coding and billing processes, contributing to our mission of delivering exceptional mental health care. Job Summary: As a Senior Medical Coder, you will be responsible for reviewing and coding medical records, ensuring compliance with coding guidelines and regulations. You will provide leadership and training to junior coders, assisting in the development of coding policies and best practices. Key Responsibilities: Review and code complex medical records accurately and efficiently using ICD-10, CPT, and HCPCS coding systems. Ensure compliance with all relevant coding regulations and guidelines. Provide training and mentorship to junior coding staff. Conduct audits of coding practices to ensure accuracy and compliance. Collaborate with clinical staff to clarify documentation and coding discrepancies. Assist in the development and implementation of coding policies and procedures. Stay updated on changes in coding regulations and practices. Qualifications: Associate's degree or equivalent experience in Health Information Management or a related field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required. Minimum of 5 years of experience in medical coding, with a focus on mental health preferred. Strong knowledge of ICD-10, CPT, and HCPCS coding systems. Excellent attention to detail and analytical skills. Strong communication and interpersonal skills. Proficiency in coding software and electronic health record systems. Why Join Us: Opportunity to work with a dedicated team focused on mental health improvement. Competitive salary and comprehensive benefits package. Professional development opportunities and support for continuing education. Flexible work arrangements and a commitment to work-life balance

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Responsibilities: Audits records to ensure proper submission of services prior to billing on pre-determined selected charges. Receives hospital information to properly bill provider services for hospital patients. Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided. Supplies correct HCPCS code on all procedures and services performed. Supplies correct CPT code on all procedures and services performed. Contacts providers to train and update them with correct coding information. Attends seminars and in-services as required to remain current on coding issues. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Maintains all mandatory in-services. Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary. Performs other related duties, which may be inclusive, but not listed in the job description.

At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. 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 higher 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 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. Assign and sequence ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. Other duties as assigned. Qualifications Required Qualifications: Associate's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience or, in lieu of degree, at least 8 years of facility inpatient coding experience. CCS certification required. Preferred Qualifications: Bachelor's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics or related field. 10 or more years facility inpatient coding experience. Experience coding facility inpatient encounters for an academic medical center. Special Notes: Resume/CV should be included with the online application. 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 maybe 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 work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services* Complete electronic reference check with a minimum of three (3) professional references. Successfully complete a 4 panel drug screen* Meet Regulatory Requirements for pre employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $3,400 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. Job Number: 2402942Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM Pass Days: Sat, SunPosting Start Date: Mar 10, 2025Posting End Date: Apr 25, 2025, 3:59:00 AMSalary:$65,824 - $79,349 / TotalSalary Grade:SL2SBU Area:Stony Brook University Hospital

At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. 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 higher 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 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. Assign and sequence ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. Other duties as assigned. Qualifications Required Qualifications: Associate's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience or, in lieu of degree, at least 8 years of facility inpatient coding experience. CCS certification required. Preferred Qualifications: Bachelor's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics or related field. 10 or more years facility inpatient coding experience. Experience coding facility inpatient encounters for an academic medical center. Special Notes: Resume/CV should be included with the online application. 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 maybe 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 work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services* Complete electronic reference check with a minimum of three (3) professional references. Successfully complete a 4 panel drug screen* Meet Regulatory Requirements for pre employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $3,400 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. Job Number: 2402942Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM Pass Days: Sat, SunPosting Start Date: Mar 10, 2025Posting End Date: Apr 25, 2025, 3:59:00 AMSalary:$65,824 - $79,349 / TotalSalary Grade:SL2SBU Area:Stony Brook University Hospital

At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to: * Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. * 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 higher 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 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. * Assign and sequence ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. * Other duties as assigned. Qualifications Required Qualifications: Associate's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience or, in lieu of degree, at least 8 years of facility inpatient coding experience. CCS certification required. Preferred Qualifications: Bachelor's degree in a non-clinical Health Care related field such as HIM, Health Sciences, Health Informatics or related field. 10 or more years facility inpatient coding experience. Experience coding facility inpatient encounters for an academic medical center. Special Notes: Resume/CV should be included with the online application. 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 maybe 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 work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Prior to start date, the selected candidate must meet the following requirements: * Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services* * Complete electronic reference check with a minimum of three (3) professional references. * Successfully complete a 4 panel drug screen* * Meet Regulatory Requirements for pre employment screenings. * Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. * The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at *************. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally. Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all full time UUP positions have a $3,400 location pay. Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line. '628386

Certified Surgical Coder - Stony Brook CPMP Patient Accounts Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. Responsibilities SUMMARY: This incumbent is responsible for reviewing and analyzing physicians' documentation and assigns, CPT, Modifiers and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions: Provide a variety of complex and technical assignments related to physician surgical coding. Analyze, code and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes and Modifiers for reimbursement. Obtain Pathology Reports from PowerChart when applicable. Enter information into the database. Correct TES and Claim Scrubber Edits. Resolve discrepancies on coding related issues. Perform all other duties as assigned by management. Qualifications Required Qualifications: High School diploma/GED. Current Certified Coding Specialist (CCS) Certification, CCS-P or Certified Professional Coder (CPC) Certification. 1 year of physician surgical coding experience. Must be proficient in Microsoft Office Word and Excel. Preferred Qualifications: Associate's Degree. 3 years of physician surgical coding experience. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management. The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP. StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations. Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board. CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training. CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP's employees to perform their job duties may result in discipline up to and including discharge.

Who We Are: St. John s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay. Come Grow With Us! Type: Full-Time (75 hours biweekly) Shift: Days Hours: 8:00AM - 4:30PM Pay Rate: $32.32 - $37.04 per hour Job Summary: Certified Coder will code medical records utilizing proper coding classification systems. Responsibilities: Codes all diagnosis, operative procedures, and diagnostic procedures Codes and abstracts Inpatient records and Ambulatory surgery records Codes and abstracts Clinic records utilizing the acuity grid assigned Requirements: High School Diploma or Equivalency CLS or CPC Coding Certification 1-2 years experience

Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process. 8.Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment. 9.Assigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets. 11.Assigns appropriate discharge physician in the system. 12.Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations. 13.Demonstrates basic knowledge of the impact of coding decisions on revenue cycle. 14.Assists in the education of physicians and other clinicians by advocating proper documentation practices, further specificity, resequencing and inclusion of diagnoses or procedures when needed to more accurately reflect the acuity, severity of illness and risk of mortality as indicated. 15.Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. 16.Completes moderately complex assignments that require an ability to recognize the need to occasionally deviate from accepted practices. 17.Exercises independent judgment on basic or moderately complex issues regarding job and related tasks. 18.Works independently under minimal supervision within established guidelines and procedures. 19.Requires minimal instruction on day-to-day work; majority of work is self-directed; receives instruction on new assignments. 20.Works with lead on resolution of day-to-day technical/procedural challenges. 21.May provide work guidance to team members to ensure accurate and timely completion of tasks. 22.Performs related duties, as required. * ADA Essential Functions Job Qualification * High School Diploma or equivalent required. * 3 - 5 years of technical experience, required. * One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP) or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) or RHIA or RHIT certification. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Position Responsibilities: * Thoroughly read and interpret the documentation contained in every medical record to identify all diagnoses and procedures to which codes must be affixed. * Assess the adequacy of documentation to ensure that it supports the principle diagnosis, principle procedure, complications and comorbid conditions assigned codes. * Demonstrates a strong familiarity of diagnostic and procedural terminology. * Ability to apply knowledge of disease processes and to index medical terms/procedures to the appropriate class in the classification system. * Apply knowledge of ICD-10-CM instructional notations and conventions to facilitate location of the correct code (s) for each episode of care. * Facilitate comprehensive retrieval by recognizing when more than one code is required to adequately code a given condition. * Apply knowledge of ICD-10-CM coding principles to completely and correctly code episodes of patient care. * Enter and edit patient data for assigning DRG's in the Grouper, following approved guidelines for coding and sequencing. * Enter and edit patient data into computerized abstracting system for in-patients and outpatients as assigned. * Utilize accurate CPT codes for the procedural coding of ambulatory surgery patients. * Follow all coding guidelines, rules and regulations when assigning codes. * Adheres to all organizational policies and procedures Position Requirements: * High School Diploma or GED * CCS or CCS-P required * Minimum one year experience with hospital acute care, inpatient ICD-10-CM and CPT Coding. Salary Range USD $28.00 - USD $45.00 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as assigned in order to apply the appropriate diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Minimum Education: Commensurate education with achieving qualifications to sit for Certification Exam(s) as related to ICD-10, CPT and other related specialty certifications. Licensure, Registration and/or Certification: Certified Coder through AAPC, AHIMA, BCHH-C, HCCS for Home Health or National Healthcare Association. Applicants who have not yet achieved a coding certification may be considered when work experience is at least two years. The applicant will need to obtain the certification within one year of hire. Work Experience: 0 - 2 years related experience including a demonstrated thorough understanding of the content of the medical record in order to be able to locate information to support or provide specificity for coding. Requires experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded. Knowledge, Skills and Abilities: Basic computer and encoder skills. Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner. Uses good judgment when determining whether a record is complete enough to code or should be held for more documentation. Ability and requires maintaining continuing education credits for credentialed coders, stays updated on coding rules, attends seminars and reviews and coding periodicals. Ability to be cooperative, dependable and responsive to the changing nature of the coding workflow. Ability to be flexible when asked to do different assignments. Essential Functions and Responsibilities: Codes as assigned from review of medical record documentation. Applies knowledge of current coding and billing requirements to assure claims are submitted correctly. Monitors coding and billing performance and resolves denials related to coding errors. Performs review for charge corrections and rebilling as required for resolution of coding denials. Develops preventative measures in response to patterns identified through analysis of claims denial data; prepares periodic reports for clinical staff, identifying corrective measures to resolve denial problems. Advises and instructs providers regarding documentation and billing policies, procedures and regulations; interacts with providers regarding conflicting, ambiguous or none-specific documentation, obtaining clarification of same. Educates provides and office staff regarding documentation coding and billing changes and regulations to assure compliance with local, state and national policies. Works collaboratively with providers, office staff, billing personnel, quality department and compliance, and coding resources to ensure accurate coding. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationships: Works with internal customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Health Information Ambulatory Coding - Yale Campus Location: Tulsa, Oklahoma 74136 EOE Protected Veterans/Disability

Who We Are: St. John s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay. Come Grow With Us! Type: Full-Time (75 hours biweekly) Shift: Days Hours: 8:00 AM - 4:30 PM Pay: $115,000 - 135,000 per year Job Summary: The HIM Operations Manager will plan, organize and manage the day to day operations of the hospital s Health Information Management Department, including all units within HIM, while effectively coordinating, managing, and improving the daily, weekly, and monthly departmental activities. The Operations Manager is responsible for the effective operation and works closely together with the Coding Manager and Director of HIM. He or she requires financial acumen focus to maximize staff performance, customer satisfaction, and integrity of the legal medical record and coding/reimbursement; the role requires extensive collaboration across divisions and areas impacting the revenue cycle process. The position requires a hands-on immersive management approach to ensure compliance with internal and external policies governing the clinical documentation and health information management processes of the facility and the development and empowerment of the management team and staff. Responsibilities: Evaluates the impact of innovations and changes in programs, policies, and procedures for HIM operations. Designs and implements systems and methods to improve data integrity, workflows and processes. Identifies, assesses, and resolves issues impacting HIM operations, coding, documentation, and revenue cycle processes. In collaboration with the Director of HIM, plans, coordinates and evaluates staff activities and workflow in the areas of Documentation Management, Release of Information, Systems and Mater Patient Index (MPI) Integrity, and Clinical Documentation Improvement (CDI). Has direct responsible for hiring, orientation, training and in-service regarding hospital organization, mission, management, policies, and procedures. Oversees compliance with all hospital initiatives. Reviews, audits, monitors, and maintains productivity and accuracy reports. Collaborates with the HIM Coding Manager to maintain acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards. Participates and leads process and performance improvement and in conjunction with the director and coding manager ensures the coding compliance program. Develops and coordinates educational and training programs as guided/instructed by the director. Conducts and oversees coding audit efforts and coordinates monitoring of chart analysis. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer. Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring. Oversees Release of Information compliance. Interacts with a variety of people who impact the success of HIM operations, and functions as a facilitator, liaison, and/or motivator. Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual team members. Manage HIM Operations PTO approvals to ensure coverage is maintained Payroll System time keeper. Requirements: Bachelor's Degree required CPC and CCS or CIC coding certification required RHIT, RHIA preferred. Minimum of five years progressive healthcare management and business administration, and knowledge of ICD-10-PCS, CPT/HCPCS with claims processing and data management responsibilities a plus. Process Improvement experience required. Excellent oral and written communication skills.

Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures in accordance with the established International Classification of Diseases 10th Revision Procedure Classification System (ICD-10-PCS) Official Guidelines for Coding and Reporting. 6.Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process. 8.Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment. 9.Assigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets. 11.Assigns appropriate discharge physician in the system. 13.Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations. 14.Demonstrates basic knowledge of the impact of coding decisions on revenue cycle. 15.Assists in the education of physicians and other clinicians by advocating proper documentation practices, further specificity, resequencing and inclusion of diagnoses or procedures when needed to more accurately reflect the acuity, severity of illness and risk of mortality as indicated. 16.Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. 17.Maintains the minimum data standards for accuracy and efficiency as defined by the facility. 18.Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. 19.Performs related duties, as required. * ADA Essential Functions 20.Completes moderately complex assignments that require an ability to recognize the need to occasionally deviate from accepted practices. 21.Exercises independent judgment on basic or moderately complex issues regarding job and related tasks. 22.Elevates questions, problems and significant challenges to more senior team members for direction or subject matter expertise on new or unprecedented assignments. 23.Certain jobs may require frequent transactional interaction with external vendors, partners or clients/patients. Job Qualification * Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC), required. * Successful completion of a medical coding course, required and minimum of two (2) year experience as an ICD-10 Outpatient/Inpatient medical records coder, in an acute care facility, required. * Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems, required. * Experience with Computer Assisted Coding preferred. * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Who We Are: St. John s Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay. Come Grow With Us! Type: Full-Time Shift: Days Hours: 8:00 AM - 4:30 PM Pay: $100,000 - $115,000 Job Description: The Coding Manager will plan, organize and manage the day to day operations of the hospital coding team (Inpatient and Outpatient). The Coding Manager is responsible for the professional development of the coding staff and assisting management with providing a hospital-wide educational program to support coders in continued coding and documentation education; performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders; works with the HIM Operations Manager to provide in-service training and feedback to coding staff, regularly, including coding changes and updates. He or she effectively collaborates with HIM and Revenue Cycle Management on the implementation of coding edits, and ensures that accurate, coded data exists for optimal reimbursement by the organization, and coordinates all quality and compliance monitoring of assignments for hospital technical services. In addition, the HIM Coding Manager will have direct responsibilities for maintaining Discharge Not Final Billed (DNFB) within established thresholds, based on volumes and staffing resources, and responsibility for scheduling, time and attendance, productivity and quality. Responsibilities: Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit Designs and implements systems and methods to improve data integrity and coding compliance Identifies, assesses, and resolves issues impacting coding, documentation, and revenue cycle processes Monitors and maintains acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards Oversees and monitors the coding compliance program. Develops and coordinates educational and training programs such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes in collaboration with HIM Management Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer Reviews claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual coder/team Manage coders time PTO approvals to ensure coverage is maintained Payroll System time keeper Requirements: Bachelors Degree required CPC and CCS or CIC coding certification required RHIT, RHIA preferred Minimum of five years progressive coding or coding review experience in ICD-10-CM and CPT/HCPCS with claims processing and data management responsibilities a plus Excellent oral and written communication skills