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

Department/Unit:

Health Information Services

Work Shift:

Per Diem (United States of America)

Optimize hospital reimbursement by collecting and classifying diagnostic and procedural information from physicians and medical records.

Responsibilities:

  • 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.

  • Submit registry data to the NYS Department of Health for congenital malformation.

  • Maintains the confidentiality of patient clinical and financial information.

  • Participates in training as required.

  • Perform other duties as assigned.

Qualifications:

  • RHIT or RHIA with minimum Associate Degree in Health Information Technology or related field preferred. Credentials as CCS, CPC or eligible required.

  • 5 or more years of experience medical coding.

  • Demonstrated communication skills.

  • Excellent command of the ICD-10-CM/PCS and CPT4 classification systems

  • 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 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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