Billing & Coding Specialist-BI-FT Days

Mount Sinai Health System • New York, NY

25d • Onsite

About The Position

Responsible for office, out-patient, and inpatient physician coding. Provides education regarding documentation requirements for improved quality of coding and to ensure accurate and complete capture of revenue.

Requirements

• Associate Degree
• 5-10 years related experience
• CPC Certification

Responsibilities

• Responsible for performing specialty coding for services and medical office visits.
• Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation.
• Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.
• Ensures that documentation supports charges to prevent denials/underpayments.
• Follows-up on missing charge tickets and clinical documentation as appropriate.
• Assist with implementation of documentation and revenue enhancement opportunities.
• Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications.
• Reviews and distributes coding related information to clinical staff, including CPT and ICD-10 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.
• In conjunction with Sr. Billing Analyst, identify relevant charge master or fee updates.
• Responsible for resolving any coding related errors and denials that are identified by Hospital or Practice billing system as part of the revenue enhancement initiatives.
• Consults and provides feedback with frontline clinical staff and financial coordinators to identify reimbursable indications for treatment.
• Assists on reviews of revenue cycle with management and supervisor.

Benefits

• The salary range for the role is $58,661.00 - $81,675.00 Annually.
• Actual salaries depend on a variety of factors, including experience, education, and operational need.
• The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree