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About the Role

The Inpatient Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnosis and procedural (PCS) codes, and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.

Responsibilities

Use a computerized encoding system to facilitate accurate coding.
Sequence diagnoses and procedures by following the ICD-10-CM, PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
Support the reporting of healthcare data elements required for external reporting purposes completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation.
Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
Attends coding meetings and roundtable sessions.
Participates in daily huddles and LEAN problem-solving activities.
Focused with no distractions while working and participating in meetings.
Ensures camera on while attending Teams calls.
Assists with organizing the shared drive for the medical coding department.
Other duties as assigned by manager.

Requirements

High School Diploma/G.E.D. - required
Prior experience in hospital medical coding - preferred
Prior experience with 3M 360 and EPIC system - preferred
Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score.
Must be able to work independently as position is fully remote.
Maintain a remote coding work area that protects confidential health information.
Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.

Skills

Excellent computer skills, navigating multiple systems at once, troubleshooting.
Excellent written and verbal communication skills.
Knowledge of ICD-10-CM and ICD-10-PCS coding classification system, depending on the position being hired for.
Detail-oriented and efficient while maintaining productivity.

Location

Remote

Work Type

Day
Remote

Experience Level

High proficiency

Education Level

High School Diploma/G.E.D.
Coding certification / credential through AHIMA or AAPC

Salary/Compensations

$59,066.00 - $88,599.00

About the Company

Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Albany Med Health System is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Equal Opportunity

Albany Medical Center is an equal opportunity employer.
Albany Med Health System is an equal opportunity employer.