Coder

Performs coding In accordance with Adirondack Health (AH) approved, CMS, and AMA coding guidelines which includes: inpatient, ambulatory surgery, referred outpatient services, professional services for employed or contracted providers at any of the AH campus locations.

Medical records are reviewed and accurately coded with the appropriate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS, Evaluation and Management codes.  All inpatient medical records are classified to the correct MDC/DRG based on the payment methodology for that specific financial class (MS, AP, APR DRGs).  Ambulatory Surgery patient records are run through the APC finder for edits and grouped into either the APC or APG. Same Day Surgery, Endo and outpatient specialty coding experience preferred.

Correct Coding Initiative (CCI) edits and Medical Necessity edits are generated on all coded cases and the coders “work” these edits to help with clean claims submission.

Application link: https://adirondackhealth.hrmdirect.com/employment/job-opening.php?req=2959481&req_loc=&&#job