Certified Medical Coder

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

Permanent