The Medical Coder IV, Complex serves as an advanced coder responsible for the abstraction and in-depth analysis of medical documentation across multiple specialties. This role assigns procedural terminology and medical codes in accordance with applicable coding rules and policies, including ICD-10, CPT-4, HCPCS, and DRG.
Key responsibilities include:
- Reviewing codes created by electronic charge capture and/or assigning codes from medical record documentation
- Reviewing and resolving coding denials and claim errors related to improper coding
- Abstracting data, reviewing code accuracy, and performing system edit checks
- Responding to coding information requests from internal and external sources
- Communicating documentation improvement opportunities and coding issues to providers and department leaders
- Consulting with internal customers and external vendors to clarify incomplete or inconsistent documentation
Requirements & Qualifications
- High school diploma required
- Associate degree in Health Information Technology or a health-related field preferred
- 3 years of experience as a medical coder
- Additional coding experience in the area of assignment preferred
- Knowledge of ICD-10-CM, CPT, and HCPCS
- Working knowledge of medical terminology and anatomy
- Preferred certifications: RHIA, RHIT, CCS, CPC, or CMC
Location
New York, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
5 months ago
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