University of Rochester Sr Medical Records Coder in Rochester, New York


Full Time 40 hours Grade 008 SMH Neurology Central Billing


8 AM-4:30 PM


Position Summary:

Responsible for in-depth analysis of medical records to abstract all diagnoses and procedures. Assigns ICD diagnosis, CPT and HCPCS codes from appropriate coding classification system.


  • Performs in depth analysis of medical records to abstract diagnoses and procedures.
  • Confers with Physicians to obtain greater specificity and/or clarification on possible diagnoses.
  • Uses thorough knowledge of coding systems and edit logic to assign appropriate codes. Understands third party payers to enable selection of appropriate codes and sequencing, including modifier assignment.
  • Ensures integrity of data prior to transmission.
  • Inputs data into computer for billing, research and clinical analysis purposes.
  • As necessary, provides Physicians and other staff with information relative to coding.
  • Prepares report as requested and related clerical tasks.
  • Attends meetings relating to coding and billing along with attending seminars and review payer and coding websites to maintain the most current coding and practice changes as well as specific third-party coding requirements for hospital based and faculty practice billing.
  • Perform prospective and retrospective internal audits.


Associates degree in Health Information Technology. Minimum of two years coding for Physician office setting or acute care facility preferred, or equivalent combination of education and experience. Certification in one of the following may be required upon hire or within one year of employment.

Successful completion of Certified Professional Coder (CPC), examination through American Academy of Professional Coders, American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or), or Certified Coding Specialist (CCS, CCS-P) or Certified Coding Associate (CCA) preferred. Knowledge of ICD-10-CM, CPT, and HCPCS required.

EOE Minorities/Females/Protected Veterans/Disabled

Job Title: Sr Medical Records Coder

Location: Strong Memorial Hospital

Job ID: 201568

Regular/Temporary: Regular

Full/Part Time: Full-Time