Coder Level 3 - Mount Sinai Brooklyn - Medical Records - Full-time day - Mount Sinai Morningside : Job Details

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Responsible for coding and analysis of complex inpatient medical records, utilizing ICD-9-CM and ICD-10-CM coding guidelines and conventions for establishing diagnoses and procedures. The coded information supports reimbursement, data retrieval, education, medical research, clinical care assessment, and public health monitoring.

• Review, analyze, and interpret medical records (electronic and hardcopy) to identify all diagnoses and procedures affecting the current admission.
• Apply knowledge of anatomy, physiology, disease processes, and pharmacology to identify diagnoses and procedures.
• Translate diagnoses and procedures into accurate codes using ICD-9-CM and ICD-10-CM, adhering to official coding guidelines.
• Abstract information for reporting to the Congenital Malformations Registry (CMR) as mandated by New York State.
• Utilize resources such as AHA Coding Clinic, coding handbooks, and electronic references to ensure accurate coding and reimbursement.
• Notify Coding Compliance Managers when documentation clarification is needed.
• Use encoder logic, grouper software, and clinical analyzers to assign codes and DRGs.
• Maintain and update coding skills through continuous education, keeping pace with medical advances.
• Comply with federal and state regulations, and adhere to AHIMA's ethical coding standards.
• Maintain confidentiality of all patient records and information.

• High School Diploma or GED
• Certified Coding Specialist (CCS) credential required
• Thorough knowledge of Medical Terminology, ICD-9-CM, ICD-10-CM, and DRG logic.
• Experience in Medical Records or related field; 2+ years hospital coding experience preferred.