Billing Specialist-selikoff Centers for - New York, United States - Mount Sinai Health System

Mark Lane

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Mark Lane

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Description
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Strength Through Diversity_
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Ground breaking science. Advancing medicine. Healing made personal._

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Roles & Responsibilities:_

Responsible for office, out-patient, and inpatient physician coding. Provides education regarding documentation requirements for improved quality of coding and to ensure accurate and complete capture of revenue.


Responsibilities

  • Responsible for performing specialty coding for services and medical office visits.
  • Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation.
  • Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.
  • Ensures that documentation supports charges to prevent denials/underpayments.
  • Followsup on missing charge tickets and clinical documentation as appropriate
  • Assist with implementation of documentation and revenue enhancement opportunities.
  • Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications.
  • Reviews and distributes coding related information to clinical staff, including CPT and ICD9 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.
  • In conjunction with Sr. Billing Analyst, identify relevant charge master or fee updates.
  • Responsible for resolving any coding related errors and denials that are identified by Hospital or Practice billing system as part of the revenue enhancement initiatives.
  • Consults and provides feedback with frontline clinical staff and financial coordinators to identify reimbursable indications for treatment.
  • Assists on reviews of revenue cycle with management and supervisor.
  • Participates in education programs to maintain up to date coding skills.
  • Participates with the Compliance Department in random chart audits to ensure appropriate documentation, coding and billing.

Qualifications

  • Associates degree or HS Diploma/GED plus two years of related experience.
  • Two years of experience in medical practice or outpatient coding.
  • Medical practice business office or patient accounts experience a plus.
  • CPC certification from accredited institution preferred

Pay:
$ $31.65 per hour


Benefits:


  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift

Work setting:

  • Office
  • Remote

Experience:


  • ICD10: 1 year (preferred)

Work Location:
Remote

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