Position Summary:

In addition to coding medical records, supports the coding team and director by coordinating activities that directly impact the coding team. Examples include but are not limited to:

• Ensures that policies and procedures as well as coding guidelines are kept current.
• Communicates coding updates and other information as appropriate.
• Coordinates meetings, education and reference materials such as book orders
• Generates and works reports to support such efforts as Discharged Not Final Billed - DNFB and denial management.
• Works with the Information Technology Dept. and vendors to resolve issues that impact coding.

In accordance with Adirondack Health (AH) approved, CMS, and AMA coding guidelines which includes: inpatient, ambulatory surgery, referred outpatient services, professional services for employed or contracted providers at any of the AH campus locations, Coordinates activities of all coding functions across the Adirondack Health enterprise in a timely manner.

Medical records are reviewed and accurately coded with the appropriate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS, Evaluation and Management codes. All inpatient medical records are classified to the correct MDC/DRG based on the payment methodology for that specific financial class (MS, AP, APR DRGs). Ambulatory Surgery patient records are run through the APC finder for edits and grouped into either the APC or APG.

Correct Coding Initiative (CCI) edits and Medical Necessity edits are generated on all coded cases and the coders “work” these edits to help with clean claims submission.

Educational Requirements/ Qualifications:

1. Two year college degree or higher preferred.
2. Professional certifications to include: RHIA, RHIT, CCS, CCS-P, CHC, CHC-P are preferred.
3. A thorough understanding of anatomy and physiology and medical terminology required.
4. Work requires a high level of interpersonal skills to interact with the Medical Staff, Administration, and Quality Management (quality, risk, CDI, Core Measures).
5. Must be organized, articulate and able to work closely with the director and coding team to achieve organizational goals.
6. Auditing background is preferred.

Job Type:

Full-Time

Location:

This position is hybrid eligible (not guaranteed) in accordance with Adirondack Health's Flexible Work Arrangement policy

Benefits of Working Full-Time at Adirondack Health:

• Medical, Dental and Vision Insurance
• Paid Benefit Time (PTO and Sick days)
• Tuition Reimbursement
• 403(b) Retirement Plan with Employer Contributions
• And much more!

Salary Range:

$25.17-$37.77 per hour