Professional Coder

Albany Medical Center • Albany, NY

3d • Remote

About The Position

The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote.

Requirements

• High School Diploma/G.E.D. - required
• 1-3 years Experience in provider professional fee coding - preferred
• Working knowledge and experience with provider professional fee coding and charge processing.
• Computer experience, windows environment with proficiency in Microsoft Word and Excel is required.
• Excellent verbal and written communication skills. (High proficiency)
• CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC and be in good standing. - required
• Equivalent combination of relevant education and experience may be substituted as appropriate.

Nice To Haves

• 1-3 years Experience in provider professional fee coding - preferred

Responsibilities

• Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines.
• Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.
• Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Ensure established productivity and quality standards are met.
• Review denials, research and respond appropriately and timely.
• Perform audits as determined by management.
• Assist with all levels of application testing for identified coding workflows as needed.
• Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.
• Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate.
• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
• Remain knowledgeable of all insurance products (including Managed care, Medicaid and Medicare), policies and procedures as well as State and Federal mandates and legislation in relation to coding and documentation.
• Interact with providers and their staff to support accuracy and specificity in documentation and procedural and diagnostic coding.
• All other duties as assigned.

Benefits

• Excellent health care coverage with no copay at Albany Medical Center providers
• A wide array of services and programs to support emotional, physical, and mental wellbeing

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees