Experienced Outpatient Medical Record Coder

Position Summary

At Stony Brook Medicine, the Experienced Outpatient Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes.

Duties of a Experienced Outpatient Medical Record Coder may include the following but are not limited to:

• Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment
• 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 high 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, Citrix, and Adobe Reader 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
• And other duties as assigned

Qualifications

Required Qualifications:

• Associate's degree, at least 5 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR, in lieu of a degree,
• At least 8 years of outpatient facility coding experience and CCS, CCS-P, or CPC certification OR
• At least 10 years of outpatient facility coding experience

Preferred Qualifications:

• 5 or more years of facility outpatient procedure coding experience
• Bachelor's degree in a non-clinical Health Care related field such as HIM, Health Sciences, or Health Informatics
• Facility coding experience in an Academic Medical Center
• Cancer Center injection/infusion coding experience
• Experience coding emergency room observation encounters
• Experience coding injections and infusion for facilities
• Experience with surgical procedure coding of all specialties

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).