Job Description

Come and join our growing organization as a Medical Coder - Certified!

Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment.

Comprehensive Benefits:

• Monday-Friday schedule
• Medical, dental, and vision coverage
• Employer funded Health Reimbursement Account (HRA)
• 401(k) with company match
• Generous vacation and sick time
• Company-paid life insurance
• 11 paid Holidays

The Medical Coder position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week

As the Medical Coder you are responsible for reviewing medical records to assure proper billing of the medical service, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical record.

Responsibilities:

• Meet coding accuracy standards within 90% to 95% as well as coding productivity standards.
• Coders will review, re-code and appeal denials for all specialties including Inpatient, outpatient, physician, pathology, and infusion charts, as necessary.
• Review the discharge summary, history and physical, physician progress notes, consultation reports, operative records, inpatient hospital record to accurately assign a diagnosis and / or procedure.
• Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-10-CM and CPT codes.
• Utilize computer applications and resources essential to completing the coding process efficiently.
• Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries. Including, investigating payer coding rules to complete insurance claim appeals, submitting supporting documentation, tracking, and following up accordingly to ensure claim is processed.
• Assign Risk Adjustment diagnoses by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
• Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
• Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
• Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
• Educates and advises staff on proper code selection, documentation, procedures, and requirements.
• Identifies training needs, prepares training materials, and support staff to improve skills in the collection and coding of quality health data.
• Performs other duties as assigned
• Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements.
• Maintain continuing education by reviewing updated CPT guidelines and updated coding clinics.

Requirements

Education/Experience/Certification:

• CPC (Certified Professional Coder) or CMC (Certified Medical Coder) required
• 1-3 years experience with specialty coding (e.g., Urology, ENT, Dermatology, Pulmonology, Breast health & Oncology).
• Experience with EMR and billing systems, such as Medent & ONCO preferred.
• Working knowledge of medical terminology, CPT, and ICD-10 coding
• Familiarity with medical office procedures