The Medical Coder IV, Complex is an advanced coding role responsible for abstraction and in-depth analysis of medical documentation across multiple specialties. This position assigns procedural terminology and medical codes in accordance with applicable coding rules and policies, reviews coding denials, resolves claim coding errors, and supports internal information requests.
Key responsibilities include:
- Reviewing codes created by electronic charge capture and/or assigning ICD-10-CM, E/M, CPT, HCPCS, and modifier codes from medical record documentation
- Reviewing and resolving coding denials and claim errors related to improper coding
- Abstracting data and checking code accuracy
- Performing system edit checks and correcting errors as needed
- Responding to coding information requests and communicating documentation improvement opportunities
- Consulting with internal customers and external vendors to clarify inconsistent or incomplete 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
- Working 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
Intermediate Level
Remote work allowed
Yes
Posted
5 months ago
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