Medical Coder

UBMD Orthopaedics & Sports Medicine is hiring a full time experienced Medical Coder. This position will start as a hybrid position with training at our Administrative Offices, located at 4225 Genesee Street, Cheektowaga NY 14225. Once a demonstrated working knowledge and deep understanding of the job duties is reached, this position does have the option to become fully remote.

**local candidates are preferred. Out of state candidates will only be considered if they are highly proficient in Medent.

JOB SUMMARY:

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures are stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes

JOB DUTIES:

• Audits records to ensure proper submission of services prior to billing on pre-determined charges.
• Receives information to properly bill providers services for hospital patients
• Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided
• Supplies correct CPT and HCPCS codes on all procedures and services performed
• Contacts providers to train and update them with correct coding information
• Attends seminars and in-services as required to remain current on coding issues
• Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies.
• Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
• Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
• Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete
• Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Quantitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
• Understanding of medical insurances and their protocols.
• Performs other related duties, which may be inclusive, but not listed in the job description
• Assumes other responsibilities as requested.

Qualifications

• Education Requirements

Associates Degree

• Experience Requirements

Excellent interpersonal skills

Two (2) years experience using ICD-10-CM, CPT, HCPCs

Computer competency

• Skills and Competencies Requirements

Federal laws and regulations affecting coding requirements

Principles, practices and methods of current coding certificate required

Modern office practices, etc.

Knowledge of billing practices required

Knowledge of medical records, EHR required

WORK ENVIRONMENT

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.