Job Description

Not remote / This role is onsite on Long Island, NY

MEDICAL CODER – PHYSICIAN BILLING ANALYST 81K

Certified Medical Coders needed to analyze and code medical charts, all service areas to ensure proper ICD-10, CPT, HCPCS. Analyzes appropriate manually charge posted batches to ensure accuracy of ICD and CPT assignment. MUST be certified as a Medical Coder with 3 years of Inpatient coding experience.

Responsibilities:

• Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines.
• Codes and/or validates all out patient service area, diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day.
• Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transaction filed.
• *Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.
• Reviews and keeps updated with all physician billing, and coding guidelines.
• Assists physician in assigning CPT codes that represent treatment provided.
• Full knowledge, of Coding guidelines: Initial vs Subsequent, New vs Established, Sick vs. Preventive, Split Share and COVID-19.
• Review Telemedicine Grid per Insurance to ensure proper billing.
• Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing claim Edits.
• Full knowledge of company policies and procedures.
• Maintains confidentiality of patient information as per hospital policy.
• Performs other incidental and related duties as required and assigned.

Education and Experience:

• High School Diploma or equivalent (GED)
• College Preferred
• Two – Five years experience

Required Licenses/Certifications:

• Certified Professional Coder (CPC) or
• Certified Coding Specialist (CCS) or
• Certified Coding Specialist Physicians (CCSP)

Knowledge:

• CPT and ICD-10 coding
• Proficient in MS Office (Word, Excel)
• Ability to work under nominal supervision performing duties in an area where procedures are standardized but independent decisions required
• Excellent written and verbal communication skills
• Knowledge of billing guidelines
• Ability to work with all employment levels in a collaborative manner including physicians
• Ability to multitask

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