Position Summary At Stony Brook Medicine, the Experienced Outpatient Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes.
Responsibilities Assign ICD-10‑CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a high standard around privacy requirements.
Demonstrate technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrate proficiency with Microsoft Office Applications, Citrix, and Adobe Reader in using required computer systems with minimal assistance.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Meet all coder productivity and quality goals.
Ensure the confidentiality of data contained in the medical records as outlined in institutional policies and procedures, and support and promote the HIM department by participating in special projects.
Perform other duties as assigned.
Required Qualifications Associate’s degree, at least 5 years of outpatient facility coding experience and CCS, CCS‑P, or CPC certification OR, in lieu of a degree.
At least 8 years of outpatient facility coding experience and CCS, CCS‑P, or CPC certification OR.
At least 10 years of outpatient facility coding experience.
Preferred Qualifications 5 or more years of facility outpatient procedure coding experience.
Bachelor’s degree in a non-clinical Health Care related field such as HIM, Health Sciences, or Health Informatics.
Facility coding experience in an Academic Medical Center.
Cancer Center injection/infusion coding experience.
Experience coding emergency room observation encounters.
Experience coding injections and infusion for facilities.
Experience with surgical procedure coding of all specialties.
Job Details Official Job Title: TH Medical Records Specialist
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-Commack
Department/Hiring Area: Revenue Integrity
Schedule: Full-time
Posting Start Date: Apr 2, 2026
Posting End Date: Jul 1, 2026, 11:59:00 PM
Salary Grade: SL2
SBU Area: Stony Brook University Hospital
Salary and Benefits Anticipated Pay Range: $63,672 - $77,468 / year (salary range may be based on validated years of comparable experience).
Additional compensation may include location pay and other benefits such as generous leave, health plans, and a state pension.
Equal Employment Opportunity Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability‑related accommodation, please call the University Office of Equity and Access at (631)632-6280.
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