Medical Coding Specialist

Weill Cornell Medical College • New York, NY

1d • $29 - $39

About The Position

Responsible for reviewing medical records for compliance with coding and documentation requirements.

Requirements

• High School Diploma
• Approximately 2 years of experience in physician billing, CPT, ICD-10 and HCPCS Coding.
• Prior experience working with an eMR system.
• Working knowledge of federal and state reimbursement regulations.
• Knowledge of third party insurance billing policies and procedures.
• Ability to perform duties in a highly organized, efficient and reliable manner.
• Conducts job related activities in a highly confidential manner and in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
• Must be able to work independently and use sound judgment to execute assignments.
• Demonstrated proficiency in Microsoft Office Suite, including Word, Excel and PowerPoint.
• Strong critical thinking and problem solving skills with proven ability to apply creative approaches to complicated questions.
• Must be able to multi-task
• Certified coder (CPC, CCS-P)

Responsibilities

• Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed.
• Identifies issues and patterns related to coding.
• Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation.
• Identifies issues and patterns related to coding.
• Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks.
• Performs charge entry batch quality assurance.
• Reviews and resolves charge router and charge review edits, as needed.
• Submits queries to physicians, as appropriate, for documentation clarification.
• Participates in internal and external audits of billing operations and activities.
• Participates in annual and on-going mandatory compliance training.
• Fulfills Continuing Education Units necessary to maintain certification status.
• Keeps informed of changes in policy within the field.
• Stays abreast with compliance on federal, state health care laws, regulations and rules.
• Reports any differentiation from institutional or departmental procedures.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees