We are seeking a detail-oriented and knowledgeable Medical Coder Analyst to join our healthcare team. The ideal candidate will be responsible for accurately coding medical records, ensuring compliance with industry standards, and supporting the billing and reimbursement processes. This role requires a strong understanding of ICD-10-CM, CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and physiology. The Medical Coder Analyst plays a vital role in maintaining the integrity of medical documentation and optimizing revenue cycle management. Candidates with prior experience in medical office settings and proficiency with EMR/EHR systems are highly preferred. Seeking Certified Medical Coder with at least one to two years experience.

Responsibilities:

Analyze provider documentation for diagnosis, procedures, modifier, date of service and place of service following billing and coding guidelines.
Code and/or validate all outpatient service areas, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day.
Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.
Review and keep updated with all physician billing and coding guidelines.
Assist physicians in assigning CPT codes representing treatment provided.
Maintain full knowledge of Coding guidelines: New vs Established vs Aftercare.
Maintain full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits.
Maintain confidentiality of patient information as per office practice policy.
Collaborate with healthcare providers to clarify documentation discrepancies or ambiguities.
Assist in medical record audits to ensure proper documentation and coding accuracy.
Support medical collections efforts by providing necessary documentation for claims processing and appeals.
Utilize EMR/EHR systems efficiently to retrieve, review, and document patient information.
Maintain confidentiality of patient records while adhering to HIPAA regulations.
Perform other incidental and related duties as required and assigned.

Education and Work Experience:

High School Diploma or General Education Degree (GED)
College preferred
Preferred two to three years of experience

Required Licenses/Certifications:

Certified Professional Coder (CPC) or
Certified Coding Specialist (CCS) or
Certified Coding Specialist Physicians (CCSP)

Skills and Knowledge:

Knowledge of ICD-10-CM, CPT and HCPCS coding guidelines, rules and regulations with basic medical terminology, anatomy, and physiology
Orthopedic coding & billing experience a plus
Computer proficiency in MS Office (Word, Excel)
Ability to work under supervision with standardized procedures but make independent decisions
Excellent written and verbal communication skills
Knowledge of billing guidelines
Ability to collaborate with all employment levels including physicians
Ability to multitask
Experience with EMR/EHR systems highly desirable
Prior experience in medical office or healthcare setting preferred
Excellent attention to detail, organizational skills, and ability to interpret complex medical documentation

Position is full-time, hybrid with 3 days a week onsite in Rockville Centre or Plainview, NY.