NYU LANGONE HEALTH is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.

POSITION SUMMARY: We have an exciting opportunity to join our team as a HIM Coding Specialist III Remote available. In this role, the successful candidate is responsible for the completion of medical coding and data entry/abstraction for various types of Hospital visits (Inpatient, Ambulatory, Mini-Surgery, Endoscopy, Emergency and Special Procedures) according to the ICD-10-CM/PCS and/or CPT-4 coding guidelines. Keeps abreast of all (current) diagnostic and procedural codes and annual code changes. Is knowledgeable regarding proper assignment of Present on Admission (POA) / Statewide Planning and Research Cooperative System (SPARCS) Indicators. Follows acceptable coding practices as outlined by American Health Information Management Association (AHIMA), American Hospital Association (AHA), Coding Clinic, American Medical Association (AMA), CPT Assistant, CMS and Uniform Hospital Discharge Data Set (UHDDS) Data Element Definitions.

JOB RESPONSIBILITIES:

• Codes charts daily according to ICD-10-CM PCS and or CPT-4 coding systems with modification by various coding authorities (AHA, AHIMA, CMS, and NCHS) as required.
• Performs other duties as assigned
• Participates in all Coding Education activities.
• IP and OP Coding: Assists with Clinical month-end by assuring that all inpatient SDS and ED visits are coded, entered and flagged for bill-drop by the 10th day of each month. Re-runs billing sheets and Physician Attestations as required, submitting all changes to Patient Accounts.
• OP Coding: Assists with the systematic review of selected medical records for proper Implant Charge capture. Reviews the OP Error Exception Report in order to track missing, uncoded cases and to keep accounts receivable at a minimum.
• Completes the Physician Query form when questions concerning either the diagnoses or procedures performed require Physician clarification. Contacts Physicians, their office staff or Pathologists for confirmation of diagnoses or procedures indicated in the medical record documentation.
• Reviews diagnoses codes for accuracy of POA assignment.
• IP Coding: Codes and enters charts in discharge date order. Facilitates the Revenue cycle by coding Interim Bills for those Medicare long lengths-of-stay cases.
• OP Coding: Utilizes the 3M Encoder to edit cases requiring modifiers for payment purposes. Checks for proper usage of HCPCS Level II & Level III codes as required. Assists by alerting other hospital areas of missing chargeable Implant data with email notification.
• On average, codes in the Range of 11 to 13 Special Procedure cases in a 7.5 hour day
• On average, codes and charges in the Range of 35 to 40 ED Visits each 7.5 hour day
• On average, when coding Inpatient records, codes in the Range of 11 to 13 Inpatient visits in a 7.5 hour day.
• On average, codes 25 to 30 SDS visits each 7.5 hour day
• Maintains accurate daily logs outlining the number and types of records coded and or entered and charged.
• When coding, carefully reviews medical record documentation in order to thoroughly code records for: Severity Adjusted DRGs; for proper assignment of POA Indicators; and for application of correct Discharge Disposition - all impacting Hospital reimbursement. Reviews all documentation in the medical record in order to capture all relevant diagnoses and procedures. When coding, is able to discern which conditions are clinically Present on Admission from those which develop during the patients hospital stay. Knows when to Query the physician. Properly assigns the Discharge Disposition to Inpatient accounts with knowledge of how accurate assignment affects hospital reimbursement.
• Participates in Hospital Quality Assurance projects and works in conjunction with the Patient Accounts Department on other coding, billing, or chargeable implant projects as needed. Actively participates in ICD-10-CMPCS CPT education sessions.
• Acts as a liason with physicians so that the most accurate codes are obtained; verifying diagnostic and procedural information for quality coding.
• Functions as part of a rigid internal quality check system to assure the accuracy and timeliness of data entered into the Hospital computerized abstracting system.
• Completes the Congenital Malformations Registry Forms as required. Provides for appropriate data capture on those cases requiring a detailed narrative description of congenital anomalies tracked and reported to the DOH.
• Reviews coded data flagged by 3M Encoder that requires further analysis. Applies knowledge of correct Modifier usage, correct code sequencing for proper selection of Principal diagnosis. Appends modifiers to those CPT codes not accepted for payment purposes as indicated by the CCI edits.

MINIMUM QUALIFICATIONS: To qualify you must have a High School or GED. Other Course work in Medical Coding, Medical Terminology, Anatomy and Physiology. Certified Professional Coder (CPC-P OR CPC-H) OR Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT) OR Registered Health Information Administrator (RHIA). Excellent communication (both written and oral), detail orientation, customer service, organizational, and multitasking skills. Knowledge of proper application of ICD-10-CM/PCS and/or CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and pathophysiology and inpatient/ambulatory surgical services. Knowledge of Outpatient APGs; Inpatient DRGs and aspects of their respective Prospective Payment systems as it relates to Hospital coding, charges and the Revenue (reimbursement) Cycle.

PREFERRED QUALIFICATIONS: Bachelor s Degree Health Information Management or Information Technology. 1-2 years Coding experience in an acute care Hospital setting. 1 - 2 years Knowledge and experience with ICD-10-CM/PCS. Knowledgeable regarding proper assignment of Present on Admission (POA) / SPARCS Indicators.

Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.

Required Skills Required Experience