Billing/Coder

Betances Health Center; New York (NY); Presencial; USD 45.000 - 65.000; Jornada completa

Descripción de la vacante

Betances Health Center seeks a detail-oriented medical billing and coding professional to review patient accounts, verify documentation, and optimize reimbursement for outpatient visits. You will ensure codes reflect services rendered and support accurate billing across Medicaid, Medicare, and other payers.

The role involves educating staff on coding rules, posting payments, and assisting with special projects to improve overall revenue cycle performance. On-site position based in New York.

Formación

• H.S. graduate or equivalent; B.A. preferred.
• 2+ years of medical coding and administrative experience; must be detail oriented.
• Familiarity with ICD-10-CM codes and procedures.
• Knowledge of eClinical Works preferred.
• Working knowledge of medical terminology preferred.
• Strong knowledge of database programs and MS Office including Word, Excel, and Access a plus.

Responsabilidades

• Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications.
• Evaluate medical record documentation and coding to optimize reimbursement.
• Interpret medical information to accurately assign ICD-10-CM and CPT codes.
• Review Medicaid and Medicare reimbursement claims for completeness and accuracy before submission.
• Assist in posting Medicare, GHI, and other payments as needed.
• Provide technical guidance to staff in identifying and resolving documentation or coding issues.
• Educate staff on proper code selection, documentation, and requirements.
• Contact patients regarding account balances and payment plans.
• Handle special projects as assigned by supervisor or CFO.

Conocimientos

Medical coding

Attention to detail

Documentation

ICD-10-CM knowledge

MS Office

Medical terminology

Certified coder

Data management

Educación

High school diploma or equivalent

Bachelor’s degree preferred

Herramientas

eClinical Works

MS Office

Descripción del empleo

Brief Description

• Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications.


• Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit.


• Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.


• Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines.


• Assist in the posting of Medicare, GHI, and all other INS payments as needed.


• Provides technical guidance to the clinical providers and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to the approved coding principles/guidelines.


• Educate and advise staff on proper code selection, documentation, procedures, and requirements.


• Contact patients regarding account balances and payment plans.


• Other duties will include special projects as assigned by the supervisor or CFO.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications.


• Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit.


• Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.


• Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines.


• Assist in the posting of Medicare, GHI, and all other INS payments as needed.


• Provides technical guidance to the clinical providers and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to the approved coding principles/guidelines.


• Educate and advise staff on proper code selection, documentation, procedures, and requirements.


• Contact patients regarding account balances and payment plans.


• Other duties will include special projects as assigned by the supervisor or CFO.

KNOWLEDGE, EDUCATION, SKILLS, AND ABILITIES REQUIRED:

• H.S graduate or equivalent; B.A. preferred.


• 2 + years of medical coding and administrative experience necessary; must be detail oriented and organized.


• Familiarity with ICD-10-CM codes and procedures


• Knowledge of eClinical Works preferred.


• Working knowledge of medical terminology preferred


• Strong knowledge of database programs and MS Office including Word, Excel, and Access a plus.


• A high energy level, initiative, and a stickler for details.


• Medical Billing/Coding certified a plus.

Summary

This position will play a key role in reviewing and analyzing medical billing and coding for processing and accurately code encounters for reimbursement. This position may also provide education to providers and staff on correct documentation, coding, and billing of visits as well as performs audits of medical claims for compliance with federal coding regulation and guidelines. Assists in coding accurately all encounters received on any given day into the billing system and bill out those claims in a timely manner as per Betances internal deadlines.