Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice

Hackensack Meridian Health•Hackensack, NJ

10d•Onsite

About The Position

The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

Requirements

High School diploma, general equivalency diploma (GED), and/or GED equivalent programs
Minimum of 1 year of coding for professional services
Strong understanding of physiology, medical terms and anatomy.
Proficiency in computer skills including typing speed and accuracy.
Excellent written and verbal communication skills.
Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
Must be able to achieve and maintain appropriate coding quality and productivity as established by HMH Compliance

Nice To Haves

Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired
Certified Coding Specialist or Certified Outpatient Coder or Certified Professional Coder or Certified Coding Specialist - Physician Based.
An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Responsibilities

Coordinates pertinent information of a patient's medical record for submission to the physician billing service.
Verifies patient's insurance and acts as a liaison with patients regarding charges, answers billing inquiries and assists with outstanding bills.
Ensures proper receipt of authorization / referral and completion of all forms.
Analyzes medical records and identifies documentation deficiencies.
Daily monitoring of all WQ`s for coding and billing corrections.
Assigns codes to clinical services performed for use in reimbursement and data collection.
Assign CPT, HCPCS and ICD-10-CM codes.
Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation for proper coding is missing or incomplete.
Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Terminations (NCD) / Local coverage determinations (LCD) edits.
Maintains required productivity and quality requirements
Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
Other duties and/or projects as assigned.