Position Summary
At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder
Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with other applicable reference material to ensure accuracy in coding for all assigned services.
Follows all HIPAA regulations and upholds a high standard of privacy requirements.
Demonstrates technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Maintains a working knowledge of laws, regulations and industry guidance that impact compliant coding.
Meets all coder productivity and quality goals.
Ensures the confidentiality of data in medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD‑10CM-PCS diagnostic and procedural codes for designated service lines. Applies work‑knowledge of MS‑DRG and NYS APR DRG grouping logic to accurately reflect diagnoses and procedures documented in the medical record.
Other duties as assigned.
Required Qualifications
Associate’s degree, at least 5 years of facility inpatient coding experience and CCS certification, or in lieu of a degree.
At least 8 years of facility inpatient coding experience and CCS certification.
At least 10 years of facility inpatient coding experience.
Preferred Qualifications
Bachelor’s degree in a non‑clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years of facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes
Resume/CV should be included with the online application.
EEO Statement
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.
Anticipated Pay Range
The starting salary range (or hiring range) for this position has been established as $63,672 - $77,468 per year. In addition, all full‑time UUP positions have a $4,000 location pay.
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
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