Medical Records Coder IV, Lead

Rochester, NY


Exercising thorough knowledge of department coding policies and procedures, oversees office operations, assists in administering personnel related duties and acts as the liaison with hospital staff. Coordinates the daily work of subordinate staff and resolves coding problems.


Directs the work of lower classified personnel such as Senior Medical Record Coders/Abstractors, Medical Records Coders and Data Control Clerks.


Standard office equipment including, but not limited to, PC's, printers and other hospital-wide computer systems.


  1. Ensures accuracy of coding by performing ongoing data quality checks on Coding staff and reporting findings to supervisor to optimize hospital reimbursement. Ensures corrections are made, and in conjunction with Supervisor, analyzes data output to identify coding problems and participates in corrective action as needed.

  2. Assists in personnel related matters such as time reporting, preparing performance evaluations and interviewing applicants; trains new staff and assigns work. Coordinates daily staff assignments and assigns staff to accommodate daily office priorities to assure quantity goals.

  3. Serves as a focal point for answering questions and solving problems for subordinate staff and researching coding questions on difficult records including reimbursement problems and DRG related issues/problems.

  4. Acts as a liaison for coding DRG and reimbursement questions for the hospital community and with staff from outside coding services contracting firms to assure a smooth work flow. Interacts with Patient Accounts, Information Systems and Admitting to solve problems.

  5. Acts as an authority in the absence of the Supervisor, exercising tact and good judgment.


Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding in an acute care facility in a training/detailed project role; or equivalent combination of education and experience. Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred. Knowledge of ICD-9CM and ICD-10CM required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 25.53 - $ 35.75 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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