Medical Coding Specialist II

Department/Unit: Health Information Services Work Shift: Day (United States of America) *Fully Remote - Out of State Workers Eligible (Not including CA, HI, ND, OH, WA, WY)* This position provides growth opportunities with an established coding career ladder. Start with Albany Med and grow with Albany Med! The successful candidate must have a medical coding credential through AHIMA or AAPC to apply. Responsibilities: Optimize hospital reimbursement by collecting and classifying diagnostic and procedural information from physicians and medical records. Code diagnostic and operative information from the record using ICD-10-CM/PCS and CPT4 classification systems. Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Select Diagnosis Related Group (DRG) for each inpatient case. Optimize hospital payment legitimately and ethically, based on approved coding guidelines and conventions. Select APG or APC for each outpatient cases Abstract medical data from the record to complete a discharge data abstract (DDA) on each inpatient, emergency department and ambulatory surgery episode. Complete/verify diagnostic, demographic and SPARCS information for submission to New York State Office of Health Systems Management (OHSM). Enter patient information into computerized inpatient and outpatient medical record databases. Ensure accuracy and integrity of medical record abstract data prior to billing interface and claims submission. Maintains the confidentiality of patient clinical and financial information. Participates in training as required. Perform other duties as assigned. Qualifications: Credentials as CCS, CPC or eligible required. Preferred RHIT or RHIA with Associate Degree in Health Information Technology or related field. Minimum 2 to 4 years coding experience OR 1 – 3 years coding experience as a Coder I in HIM. Excellent communication skills. Excellent command of the ICD-10-CM/PCS and CPT4 classification systems and DRG, APC and APG methodology. Thorough understanding of data quality’s effect on prospective payment and outpatient reimbursement. Ability to use a computerized medical record abstract and encoder. Thank you for your interest in Albany Med! Please be aware for the safety and security of our colleagues and patients all new employees are required to successfully complete all applicable federal, State and institutionally mandated pre-employment screening requirements including: Relevant Background Check(s) Drug Screen PPD / Tuberculosis Test Reference Check Applicable vaccinations Albany Med is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med, 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 policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.