Medical Coder and Auditor

CNY Family Care, LLPEast Syracuse, NY
Onsite

About The Position

The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.

Requirements

  • Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate’s degree in Health Information Technology or a related field or an equivalent combination of years of education and experience is required.
  • Certified Professional Coder (CPC), Certified Coding Specialist-Physician-based (CCS-P), Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
  • Two (2) years of outpatient physician office evaluation and management (E/M) coding is required.

Nice To Haves

  • Candidates with previous outpatient physician office evaluation and management (E/M) auditing experience highly prioritized
  • Medent EMR experience candidates highly prioritized

Responsibilities

  • Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded.
  • Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers.
  • Document individual encounter audit findings and communicates results to providers.
  • Access charge work queues to validate and assign charges.
  • Perform all required EMR functions as efficiently as possible and according to procedure.
  • Run the delinquent data reports for unsigned charts to ensure all applicable accounts have been received, coded and billed in accordance with practice standards.
  • Utilize EMR reports and/or communication tools to track missing documentation or queries that require follow-up to facilitate coding in a timely fashion.
  • Maintain current knowledge of changes in Outpatient coding and reimbursement guidelines and regulations e.g., new modifiers.
  • Maintain CEUs as appropriate for coding credentials as required by credentialing associations.

Benefits

  • Annual performance review
  • performance-based merit increase
  • Health, dental and vision benefits available with coverage effective the first of the month following date of hire
  • Full complement of voluntary benefits
  • $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan
  • Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan
  • Waiver program for health benefits ($3,000 annually)
  • 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution
  • Generous paid time-off that increases with years of service
  • 8 paid holidays per year
  • Closed on major holidays
  • Free onsite parking
  • Free lunch daily
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