Job Description
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:
Required Qualifications
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 assume uniformity of coding for compliance and reimbursement.
- Ensure the selection of accurate and descriptive codes from the appropriate classification system.
- Ensure the confidentiality of data contained in the patients medical records.
- Analyze the information contained in the medical records.
- Analyze the information contained in the medical records to ensure that the most appropriate codes are used.
- Queries the physicians for the appropriate documentation.
- Work collaboratively with all departments and hospital staff.
- Perform other related duties as assigned.
Required Qualifications
- RHIA or RHIT or CCS or CPC coding certification.
- Ability to make coding decisions based on use of established coding guidelines.
- Must have ability 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.