Medical Group Coder IUnder the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings.Core Job ResponsibilitiesAssign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines.Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits.Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance company, hospital based and office based guidelines.Submit queries to providers, clinical staff and managers regarding incomplete, unclear, or inconsistent documentation. Re-submit queries as necessary to ensure timely resolution.Provide education to providers and clinical staff regarding documentation and work flow opportunities.Assist departments with diagnostic and procedural codingAssist Business Office with insurance denialsPerform other duties as required.Education/Experience RequirementsREQUIRED: Knowledge of EMR, electronic coding resources, Microsoft Office and email systemsPREFERRED: Minimum of completed professional coding coursework Knowledge of Epic, 3M ICD-10-CM and CPT software, Vitalware, Microsoft Office, Email systems Knowledge of CMS Teaching Physician Guidelines for Residents and Medical Students2 years of hospital based professional coding experienceLicensure/Certification RequirementsREQUIRED: CPC, CCS-P, or related AHIMA or AAPC professional certificationPREFERRED: CPC, CCS-P or related AHIMA or AAPC professional certificationDisclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor.Job Details Req Id 99206 Department MEDICAL GRP ADMIN Shift Days Shift Hours Worked 8.00 FTE 1 Work Schedule HRLY NON-UNION-8 HR Employee Status A1 - Full-Time Union Non-Union Pay Range $22.69 - $34.43 - Per HourNearest Major Market: Utica