Medical Coding Specialist

Weill Cornell Medical CollegeNew York, NY
$32 - $35Onsite

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

Nice To Haves

  • 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.
  • 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.
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