Accounts Receivable, Certified Professional Coder

Columbia University Irving Medical Center; New York (NY); Remote; USD 65,000 - 75,000; Full time

Job summary

Columbia University Irving Medical Center is seeking a Certified Professional Coder to join their Accounts Receivable department. The role involves accurate coding of medical records, compliance with payer regulations, and contributing to efficient revenue cycle operations. Candidates should possess a Bachelor's Degree, CPC certification, and a minimum of three years of medical coding experience. This position offers a salary range of $65,000 to $75,000 per year, with a standard work schedule of 9AM-5PM, M-F.

Qualifications

• Minimum 3 years of medical coding experience.
• Proficiency in CPT, ICD-10, and HCPCS coding.
• Strong knowledge of managed care eligibility.

Responsibilities

• Responsible for accurate coding of medical records.
• Research and resolve claim denials.
• Ensure compliance with coding standards.

Skills

Attention to detail

Problem Solving

Communication

Education

Bachelor's Degree

CPC certification

Tools

Epic

Microsoft Office

Job description

Accounts Receivable, Certified Professional Coder

2 days ago Be among the first 25 applicants

Grade 104

Job Type: Officer of Administration

Regular/Temporary: Regular

Hours Per Week: 35

Standard Work Schedule: 9AM-5PM, M-F

Salary Range: $65,000.00-$75,000.00

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.

Responsibilities

• Accounts Receivable Coding: Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.
• Manage complex coding-related cases and recommend resolutions while escalating issues when necessary.
• Prepare and review correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.
• Document all actions and findings in the billing system to maintain accurate and comprehensive account records.
• Collaborate with the senior leadership to address unresolved or escalated issues.

• Coding and Charge Review: Review charges in work queues for compliance and accuracy, ensuring alignment with CPT, ICD-10, and other standards.
• Perform reconciliation of charges against appointment reports or procedure logs to ensure proper billing.
• Verify the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.
• Communicate with providers to resolve discrepancies via Epic or secure chat.
• Review charge correction requests and ensure accuracy prior to resubmission.

• Denials Management: Collaborate with AR staff to resolve denied or rejected claims related to coding issues.
• Provide expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.
• Track trends in denials and recommend process improvements to reduce errors.

• Insurance Verification and Compliance: Conduct thorough insurance verification to ensure accurate claim submission and timely reimbursement.
• Update patient accounts with corrected demographic or insurance information as necessary.
• Ensure compliance with coding standards, HIPAA, Medicare/Medicaid guidelines.

• Continuous Improvement: Monitor KPIs and participate in performance initiatives.
• Provide coding expertise to support department goals and revenue cycle operations.

• Compliance & Other: Perform additional tasks within the Revenue Cycle Department as assigned.
• Represent the FPO Clinical Revenue Office on cross-functional committees and work groups.
• Conform to HIPAA, Billing Compliance, and safety policies.

Note: This role is primarily remote; candidates must be in a Columbia-approved telework state. Occasional office visits may be required, with associated costs at the employee's expense.

Minimum Qualifications

• Bachelor's Degree or equivalent experience.
• At least 3 years of medical coding experience, preferably in physician billing or third-party payer environment.
• CPC certification required.
• Proficiency in CPT, ICD-10, HCPCS, and payer-specific billing guidelines.
• Strong knowledge of managed care eligibility, referrals, and authorizations.
• Ability to interpret clinical documentation and ensure compliance.
• Excellent organizational skills and attention to detail.
• Proficiency in Microsoft Office and EHR systems (e.g., Epic).
• Successful completion of systems training.

Preferred Qualifications

• Experience in physician practice or healthcare setting.
• Experience with EPIC.
• Knowledge of data analysis related to coding and billing.