Certified Coder

SB Clinical Practice Management Plan•Stony Brook, NY

1d•Hybrid

About The Position

This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. The role involves providing a variety of complex and technical assignments relating to medical coding, analyzing, coding, and abstracting information for reimbursement, and resolving discrepancies on coding-related issues. The position also includes reviewing and correcting rejected claims, performing account maintenance, tracking record requests, maintaining PK files, monitoring TES Open Encounter file, and handling CLIA renewals for all sites.

Requirements

Certified Professional Coder (CPC) Certification; Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician Based (CCS-P) certification.
Associate’s Degree. In lieu of an Associate’s degree, 5 years of experience is required.
Working knowledge of coding requirements
Must have excellent expressive and written communication skills.
Must be highly organized.
Must be proficient in Microsoft Office Word and Excel.

Responsibilities

Provide a variety of complex and technical assignments relating to medical coding.
Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
Resolve discrepancies on coding related issues.
Review and correct rejected claims from various third party carriers.
CPMP account notification/accounts receivable report (IDX), ICD-10 coding.
Account maintenance – IDX pending report.
Track all IDX record requests.
Maintain PK files for validity, coding/billing errors.
Monitor TES Open Encounter file.
CLIA renewals for all sites.
Perform all other duties as assigned by management.