Responsible for reviewing medical records for compliance with coding and documentation requirements.
Responsibilities
- Perform ongoing prospective coding and documentation chart reviews for physician services to ensure coding supports billed services.
- Assign appropriate ICD-10, CPT, and HCPCS codes based on chart review documentation.
- Enter charges into the practice management billing system and meet productivity and quality benchmarks.
- Review and resolve charge router and charge review edits as needed.
- Submit queries to physicians for documentation clarification when appropriate.
- Participate in internal and external audits of billing operations and activities.
- Participate in mandatory compliance training and maintain certification continuing education requirements.
- Stay informed of policy changes, reimbursement regulations, and compliance requirements.
- Report any deviation from institutional or departmental procedures.
Work Details
- Location: Upper East Side
- Org Unit: Revenue Cycle
- Schedule: Monday-Friday
- Weekly hours: 35
- Exemption status: Non-Exempt
Requirements & Qualifications
- High school diploma.
- Approximately 2 years of experience in physician billing and 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.
- Certified coder credential such as CPC or CCS-P.
- Ability to work independently and use sound judgment.
- Strong organizational, problem-solving, and critical thinking skills.
- Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.
- Ability to maintain confidentiality and comply with HIPAA.
- Ability to multitask effectively.
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago
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