Medical Records Coder

Description

Montefiore New Rochelle, a community-based hospital which is part of the Montefiore Health System, is seeking a Medical Records Coder to join our team.

Medical Record Coders are responsible for coding and charging Outpatient Ancillary Accounts in accordance with American Hospital Association coding guidelines by identifying all documented conditions that coexist at the time of the encounter/visit.

Medical Record Coders are responsible for performing a variety of clerical functions which include but are not limited to, Registration, Insurance Verification, Follow-up on accounts, Money Collection, Cashiering, Legal Documentation, as to ensure the efficient operation of the various departments within the Patient Access Department.

Medical Records Coders while remaining sensitive of applicable Montefiore Medical Center standards and Customer Service Guidelines in their interactions with patients must also fulfill their duties to ensure the efficient operation of the Patient Access Department.

The professional regard and respect towards patients that is expected of Medical Records Coders extends to their coworkers and in any matters in which they represent our hospital.

Patient Access Medical Record Coders report to Patient Access Supervisors.

Requirements

  • High School Diploma /GED required.
  • Minimum coding experience of 1-2 years and minimum of 1-3 years of business office experience in a hospital or physician office setting or comparable experience required.
  • RHIA, RHIT CCS, CCS-P, or CPC certification/license required.
  • Knowledge of Data Entry & Medical Terminology required along with knowledge of APG/APC reimbursement methodologies and also clearly understands the rules and regulations surrounding qualifications for Medicaid, Financial Assistance, and other potential funding sources required.
  • Experienced in providing excellent customer service and problem escalation/resolution in high volume atmosphere required.
  • Strong communication skills (both verbal and written), with excellent telephone and face to face communication skills required.
  • Ability to work independently and get along with others required.
  • Ability to use computers, printers, photocopy machines, fax machines, scanners, calculators, and other equipment required.
  • Bilingual Spanish speaking preferred.

Responsibilities

  • Greets patients in polite, prompt and helpful manner.
  • Codes and charges all Outpatient records using appropriate coding classification and clinical reimbursement edits for determination of appropriate APG assignments.
  • Follows-up on denials accounts relating to medical necessary missing diagnosis and charges from various from registration departments. Review and monitor Self pay report (S19 mom/newborn match reports).
  • Reviews and updates outpatient report for missing charges and diagnosis.
  • Timely Registration in computer system of individuals receiving care as Inpatients, Outpatients, or through the Emergency Department using hospital identifiers (name, date of birth, address verification, picture 1.0, insurance cards, etc.). Provides and explains to patients, family, and/or legal representatives, Patient's Rights, Notice of Privacy Practices, Advance Directives, Financial Agreement, Consent Forms, etc. Updates any missing information in Patient Registration.
  • Verifies insurance eligibility and obtains benefits via phone, fax, or electronic systems for services rendered. Reviews and resolves alerts in Treks.
  • Evaluates, informs and collects patient’s financial responsibility for copays, deductibles, out of pocket expenses, and discounted rates, whether current or outstanding, so as to arrange for full or partial payment.
  • Enters data in NYS Electronic Birth Registration System (EBRS) to submit Birth Certificates to the Department of Health (DOH).
  • Contacts the patient's Attending Physician or appropriate Resident for assistance with the completion of Birth Certificate.
  • Responsible for updating EBRS for blood screening during newborn stay.
  • Receives all methods of payment from patients and various Departments and processes hospital receipts in the Sap Cashiering Program. Patient-related payments are processed via US Bank for patient receipt and interface in patient's Eagle account.
  • Notifies Supervisor and escalates any issue(s) that may arise, including, but not limited to, Elective procedures, admissions that cannot be fiscally cleared, uncooperative patients, delay in completing duties, and any other issues impeding productivity.
  • Receive, log, secure, and release valuables to patients and patient's next of kin, follows-up on valuables left behind.
  • Promotes a culture of safety by completing mandatory training, implementing strategies learned, and adhering to the National Patient Safety Goals, HIPAA, and Corporate Compliance policies.
  • Through courtesy, respect and effective communication, presents a positive image to the community and fosters cooperative relationships and positive work environment with patients, co-workers, guests and other Departments.
  • Functions as preceptor/mentor to new staff and/or students by modeling appropriate behavior, exhibiting a courteous, conscientious and businesslike manner.
  • Consistently communicates with patients by listening attentively and providing feedback to ensure that all needs and questions (e.g., explanation of the registration process, explanation of test preparation, and education related to diagnosis and treatment) are satisfied in a timely manner.
  • Perform other duties as assigned.