Certified Medical Coder

Metropolitan Jewish Health System • New York, NY

6d • $61,463 - $73,756

About The Position

MJHS is a large not-for-profit health system in the Greater New York area, offering a wide range of health services including home care, hospice, palliative care, rehabilitation, nursing care, and health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, MJHS relies on generosity from various sources to support its programs. The MJHS Difference emphasizes a supportive community committed to excellence, respect, and high-quality, personalized healthcare. They foster collaboration, celebrate achievements, and promote fairness, offering comprehensive compensation, benefits, career development, work-life balance, advancement opportunities, and the fulfillment of making a lasting impact.

Benefits include Tuition Reimbursement for all full and part-time staff, generous paid time off (including your birthday!), affordable and comprehensive medical, dental, and vision coverage for employees and their families, two retirement plans (403(b) and Employer Paid Pension), flexible spending accounts, and more. MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF).

Requirements

• Associates degree required.
• Certified as professional coder (CPC or CSS-P).
• Requires at least 1 year of medical record coding and record review experience.
• ICD-10 certified, knowledge and experience in CPT codes required.
• Proficiency with electronic medical records (EMR) or electronic health record (EHR) required.
• Ability to work independently and collaboratively within a team environment to ensure that changes and encounters are posted accurately and timely.
• Able to multi-task and meet deadlines.
• Excellent problem-solving skills.
• Must have excellent interpersonal and communication skills including written, oral and active listening skills.
• Intermediate Excel, MS Word, Access data entry and report generation.
• Must have excellent written and oral communication skills, active listening skills.
• Medical terminology and coding both ICD-9 and ICD-10, CPT required.
• Required coding certification (CCS-P or CPC through AHIMA/AAPC).
• Experience in internal and external audits required.
• Knowledge of billing cycle required.

Nice To Haves

• Bachelor’s degree preferred.
• Certified Risk Adjustment Coder (CRC) preferred.
• Experience working with managed care health organization and outpatient medical practice preferred.

Responsibilities

• Supports medical professional corporation procedural and diagnostic coding of medical records for billing.
• Works with professional and non-professional staff for timely record review and ensuring accuracy of medical documentation and sequencing, ensuring that codes meet required legal and insurance rules.
• Works with internal and external billing staff to ensure timely and complete billing of claims and encounters.
• Collaborates and corresponds with insurance companies and health care professionals to resolve claim denials.
• Maintains medical records both electronically and hard copies, maintains productivity and chart metrics.
• Collaborates with management staff for process improvement and project work.
• Performs compliance audits regarding billing, procedural, and diagnostic coding to ensure documentation is accurate and timely.
• Submits statistical data for analysis and research by other departments.
• Able to handle multiple priorities.
• Collaborates with health plan leadership and third-party vendor to plan and conduct education initiatives to improve and enhance clinical documentation.
• Assists in developing and implementing monitoring programs, policies, and procedures of the review process.
• Develops and executes reporting tools for monitoring.
• Reviews and completes procedural and diagnostic coding of medical visits and encounters, ensuring compliance with current legal standards.
• Interacts with third parties to resolve payment denials and medical record requests.
• Collaborates with finance to generate revenue cycle reporting on key financial indicators including visit volume, coded, billed, paid, denied, rebilled, and write-off.
• Maintains and secures medical records for the professional corporation.
• Makes management aware of issues related to incomplete work and/or problem areas.
• Accurately prepares medical record documentation for internal and external audits.
• Assists with manager with all departmental initiatives.

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• Qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

What This Job Offers

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