Impress employers and recruiters.
Choose from hundreds of resume examples.

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

Incumbent reviews, analyzes, and codes diagnostic and procedural information to determine Medicare, Medicaid, and private insurance payments, ensuring compliance with coding guidelines, reimbursement policies, and regulations.

Responsibilities

• Abstracts and sequences information, assigning ICD-10, CPT, and HCPCS codes for diagnoses and procedures.
• Determines the validity and completeness of provider-stated diagnoses and procedures, ensuring documentation supports treatment.
• Performs quantitative analysis of records for completeness, including identification, signatures, and dates.
• Evaluates record documentation for consistency and adequacy, ensuring final diagnoses reflect care rendered.
• Reviews records for compliance with third-party reimbursement agencies and special screening criteria.
• Analyzes documentation to assign appropriate evaluation and management (ER&M) levels using correct CPT codes.
• Enters assigned codes into the electronic health record and billing system, generating reports as needed.
• Follows up on outstanding encounters requiring coding.
• Conducts chart reviews and audits, providing feedback and education to clinical providers and staff.
• Serves as a coding subject-matter expert, answering questions regarding coding and documentation.
• Queries providers for clarification on documentation and diagnoses.
• Attends mandatory staff meetings, in-services, and training to stay current.
• Participates in quality assurance, improvement, and control activities.
• Adheres to all policies and procedures of the department, Seneca Nation, and Seneca Nation Health System.

Requirements

• Associate’s Degree in Health Information Technology or Medical Coding.
• Two years of experience using ICD-10, HCPCS, and CPT.
• Must possess and maintain current CPC, COC, CCS, CCS-P, CCA, RHIA, OR RHIT certification.
• Must possess and maintain a valid NYS driver’s license.
• Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health is preferred.

Skills

• Advanced knowledge of diagnostic and procedural coding systems, medical terminology, abbreviations, minor medical procedures, anatomy and physiology, major disease processes, pharmacology, and the metric system.
• Knowledge of official coding conventions and rules established by AMA and CMS.
• Knowledge of electronic health records systems.
• Knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).
• Data entry skills.
• Excellent verbal and written communication skills.
• Knowledge of fiscal requirements, policy, and procedures of federal, state, and tribal programs.
• Ability to recognize and respect cultural diversity.
• Ability to prioritize and perform tasks.
• Ability to maintain confidentiality of patient protected information.

Location

• On-site

Work Type

• On-site
• Full-time

Experience Level

• Two years of experience

Education Level

• Associate’s Degree in Health Information Technology or Medical Coding
• CPC, COC, CCS, CCS-P, CCA, RHIA, OR RHIT certification

Benefits

• Monday - Friday (No weekends and no holidays)
• Health, dental, and vision full coverage for individual
• Short term/long term disability options
• Vacation (annual) + PTO (accrued weekly)
• 16 paid holidays in the calendar year
• 401K - 5% matching
• Parental, medical, education, bereavement leaves