The Medical Records Coder III assigns required DRG (diagnosis-related grouping) codes. Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Being a Medical Records Coder III performs quality audits of work. Works with coding databases and software to input and maintain data according to standard procedures. In addition, Medical Records Coder III maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. May require an associate degree. The AAPC Certified Professional Coder (CPC) certification is typically required. The Certified Coding Specialist (CCS) certification is also a typical requirement. Typically reports to a supervisor or manager. Being a Medical Records Coder III works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Working as a Medical Records Coder III typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification. (Copyright 2025 Salary.com)
The Medical Records Coder reviews and abstracts clinical data from patient's medical records regarding events concerning a patient’s outpatient/ambulatory visit and procedures. S/He has the ability to code diagnoses and procedures using standardized classification systems (e.g. ICD-10, CPT, etc.) and updated billing references. Assures compliance with payer and government standards for reimbursement, complete various state mandated clinical reports if needed and, performs related duties.
The Medical Records Coder will analyze data, trend and report findings on coding related items.
Qualifications/ Requirements
High school diploma/ GED Required
Certified Professional Coder certification
Must maintain their annual credits mandated by the AMA
Knowledge of the principles and procedures of coding for various classifications
Knowledge of state and city requirements
Ability to educate staff and the physicians
Ability to understand specific payer rules and policies
Good communication and writing skills
Epic Knowledge
Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, Yonkers
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 222602 Salary Range/Pay Rate: $34.63
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