Under general supervision, reviews, analyzes, and ensures the final diagnoses and procedures documented by providers are valid and complete. Accurately codes office and hospital procedures to support proper reimbursement and compliance. Provides education to providers to improve documentation and correct assignment of ICD-10-CM, HCPCS, and CPT codes.
Responsible for auditing records before billing, reviewing hospital information for provider services, assigning diagnosis and procedure codes, and ensuring compliance with federal and state regulatory requirements. Performs quantitative and qualitative analysis of medical records, reviews billing software edits, and makes corrections based on supported documentation and medical necessity. May also support provider training, attend seminars and in-services, and perform other related duties as assigned.
Qualifications
- High school diploma
- CCS or CPC certification required
- Minimum of 2 years of coding experience using ICD-10-CM, CPT, and HCPCS or equivalent experience
- Knowledge of medical records and EHR systems
- Knowledge of federal laws and regulations affecting coding requirements
- Understanding of current coding principles, practices, and methods
- Knowledge of office and billing practices
- Familiarity with official coding conventions and rules established by the AMA and CMS
- Strong interpersonal and communication skills
- Computer competency
Physical Requirements
- Ability to sit for long periods of time
- Manual dexterity to work with computer systems and keyboard
Benefits
- PTO
- 401(k)
- Life insurance
- Student loan reimbursement
- Hybrid work arrangement after a 3-month probationary period
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago