"Medical Coding Specialist"

Medical Coding Specialist

Title: Medical Coding Specialist

Location: Upper East Side; Lower East Side

Org Unit: Revenue Cycle and Compliance

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $29.15 - $38.74
*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Responsible for reviewing medical records for compliance with coding and documentation requirements.

Job Responsibilities

• Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. Identifies issues and patterns related to coding.
• Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation. Identifies issues and patterns related to coding.
• Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs charge entry batch quality assurance.
• Reviews and resolves charge router and charge review edits, as needed.
• Submits queries to physicians, as appropriate, for documentation clarification.
• Participates in internal and external audits of billing operations and activities.
• Participates in annual and on-going mandatory compliance training. Fulfills Continuing Education Units necessary to maintain certification status.
• Keeps informed of changes in policy within the field.
• Stays abreast with compliance on federal, state health care laws, regulations and rules. Reports any differentiation from institutional or departmental procedures.

Education

• High School Diploma

Experience

• Approximately 2 years of experience in physician billing, CPT, ICD-10 and HCPCS Coding.
• Prior experience working with an eMR system.
• Working knowledge of federal and state reimbursement regulations.
• Knowledge of third party insurance billing policies and procedures.

Knowledge, Skills and Abilities

• Ability to perform duties in a highly organized, efficient and reliable manner.
• Conducts job related activities in a highly confidential manner and in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
• Must be able to work independently and use sound judgment to execute assignments.
• Demonstrated proficiency in Microsoft Office Suite, including Word, Excel and PowerPoint.
• Strong critical thinking and problem solving skills with proven ability to apply creative approaches to complicated questions.
• Must be able to multi-task

Licenses and Certifications

• Certified coder (CPC, CCS-P)

Working Conditions/Physical Demands
Standard office work