Medical Records Coder I, Full time -… at Atlantic… · Summit

Medical Records Coder I, Full time - 8:30am-4:00pm, Family Medicine, Summit

Location: Summit, NJ, United States

Responsible for chart assembly, chart analysis, coding, and computer abstracting of all discharged patient medical records. Accurately assigns ICD-9-CM codes to all discharge diagnoses and processes requests for patient information. Makes decisions on codes and functions to be assigned in each instance including diagnostic and procedural information, significant reportable elements, and other complex classifications.


Principal Accountabilities:

Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.

• Code office visits, procedures, and other services in accordance with payer requirements and organizational policies.
• Verify that documentation supports the codes and services billed; request clarification from clinicians when needed.
• Review charges before claim submission and correct coding errors or omissions.
• Research coding edits, claim rejections, and denials; make corrections and support appeals.
• Monitor coding work queues and complete assigned work within established timeframes.
• Stay current with coding updates, payer policies, and compliance requirements.
• Identify recurring documentation or coding issues and share guidance with clinicians and practice leadership.
• Maintain patient confidentiality and follow HIPAA requirements.

• Apply teaching physician and resident billing rules when reviewing services involving residents and supervising clinicians.

Level I - High School Diploma or equivalent. 0-3 years of experience in Physician coding, Billing or other related field with demonstrated increased responsibility in the healthcare industry. Certified Coding Specialist (CCS) certification and Epic training preferred.Level II - High School Diploma or equivalent. 3-5 years of experience in Physician coding, Billing or other related field with demonstrated increased responsibility in the healthcare industry. Certified Coding Specialist (CCS) certification and Epic training preferred.

Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning.

Our integrated network offers seamless access to Atlantic Health's entire health care continuum and our nationally and regionally ranked hospitals. In collaboration with Atlantic Health, several of our practices offer urgent care and walk-in services.

In addition to primary care physicians, the team includes specialists that care for patients in all aspects of their health from pediatrics to geriatrics and everything in between. We make health decisions easier for patients with enhanced access to referrals.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.