Certified Coder
About The Position
The Certified Coder for Stony Brook Children’s Service, UFPC, reviews and analyzes physicians’ documentation, CPT codes, and ICD-10 diagnosis codes. The position ensures compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines. The role is based in St. James, New York, and is full time, Monday through Friday, 8:30 AM to 5:00 PM. At the manager’s discretion, it may be eligible for remote work after 90 days. The work includes complex and technical medical coding assignments, coding and abstracting information for reimbursement, resolving coding discrepancies, reviewing and correcting rejected claims, and performing account maintenance and reporting tasks. Other duties may be assigned by management. The position is largely sedentary and involves regular communication with patients, staff, and medical providers. StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and provides payroll and human resources services, including employee benefits. SUNY Stony Brook Hospital is responsible for hospital operations and health care provision. CPMP provides equal employment opportunities and prohibits workplace harassment based on legally protected status.
Requirements
- Certified Professional Coder (CPC) certification.
- Associate’s degree, or five years of experience in lieu of an associate’s degree.
- Working knowledge of coding requirements.
- Excellent expressive and written communication skills.
- Highly organized.
- 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 to assign and enter 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.
- Handle CPMP account notifications and accounts receivable reports in IDX, including ICD-10 coding.
- Maintain accounts using the IDX pending report.
- Track all IDX record requests.
- Maintain PK files for validity and coding or billing errors.
- Monitor the TES Open Encounter file.
- Perform CLIA renewals for all sites.
- Perform other duties as assigned by management.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
