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Albany Medical Center Medical Coding Specialist I in Albany, New York

Department/Unit:

Health Information Services

Work Shift:

Day (United States of America)

Optimize hospital reimbursement by collecting and classifying diagnostic and procedural information from physicians and medical records. Apply ICD-10-CM and CPT coding to a patient’s insurance claim using the official coding guidelines. Comply with all regulations assigned by compliance for medical coding.

Responsibilities:

  • Code diagnostic and operative information from the record using ICD-10 and CPT4 classification systems.

  • Use a computerized encoding system to facilitate accurate coding.

  • Sequence diagnoses and procedures by following the ICD-10, CPT 4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.

  • Abstract medical data from the record to complete a discharge data abstract (DDA) on each medical record.

  • Code and abstract Emergency Department and other outpatient visits.

  • Complete/verify diagnostic, demographic and SPARCS information for submission to New York State Office of Health Systems Management (OHSM).

  • Enter patient information into computerized outpatient medical record databases.

  • Ensure accuracy and integrity of medical record abstract data prior to billing interface and claims submission.

  • Assign evaluation and management (E&M) codes and CPT procedure codes for Emergency Department Physician Professional services and technical components.

  • Assign ICD-10 diagnosis codes on radiology, apheresis and dialysis encounters as requested.

  • Maintain patient confidentiality.

  • Participate in training as required.

  • Perform other duties as assigned.

Minimum Qualifications:

  • High School Graduate and completion of an official medical coding program or HIM related college program.

  • CCS, CCA or CPC credentials.

  • Ability to code hospital outpatient medical records include Emergency Department, Observation and Ambulatory Surgeries.

  • Understanding of Medicare and Medicaid guidelines.

  • Expert knowledge of ICD-10-CM and CPT4 classification systems.

  • Ability to abstract data elements from the medical record.

  • One to three years’ experience coding or graduate of the coding apprentice program.

Thank you for your interest in Albany Medical Center!​

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, 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 Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Med is the centerpiece of medicine, research, and medical education in New York’s CapitalRegion and is the area's largest private employer with more than 10,000 employees.

Albany Med offers excellent career opportunities in a wide range of roles in both patient care andadministration. We value all our staff members and offer outstanding employee benefits including:

  • Excellent health care coverage (http://albanymedcareers.com/benefits/employee-health-%20benefits/) with lower copays at most Albany Med providers.

  • A wide array of services and programs to support emotional, physical, and mental wellbeing (http://albanymedcareers.com/benefits/employee-advantages/)

Anchored in the state’s historic capital city, Albany Med offers a full range outpatient and inpatient careand is home to the region’s largest hospital, only Level 1 trauma center, and only children’s hospital. Thedowntown campus also offers opportunities at Albany Medical College.

Albany Med partners with Columbia Memorial Health, Saratoga Hospital and Glens Falls Hospital to form the Albany Med Health System, serving more than three million people over 25 counties.

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