Hospital Coder-Inpatient

Department/Unit:

Health Information Services

Work Shift:

Day (United States of America)

Salary Range:

$55,895.80 - $83,843.71

Looking for an Inpatient Coding Specialist. Must have a coding credential through AHIMA or AAPC. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Strong understanding of MS-DRG and NY-APR methodologies.
This position is fully remote, and equipment is provided. Applicant must be able to maintain a remote work location to protect patient information and adhere to both HIPAA and Hospital Privacy policies.
3M 360 necessary. EPIC experience is a plus. Must have experience using a hospital encoder.
Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score.

The Hospital Medical Coder is responsible for the application of the appropriate diagnostic ICD-10-CM and procedural codes ICD-10-PCS, to the Inpatient hospital medical record. They are responsible for sequencing diagnoses and procedures by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. The individual must maintain medical coding quality and productivity as established by the department.

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.