Billing & Coding Specialist (Pre-Auth & Audits)

Upstate; City of Syracuse (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

SUNY Upstate Medical University in Syracuse seeks a billing/coding specialist to analyze OP admits for ABN waivers, pre-authorizations, referrals, and correct demographic data. You will coordinate pre-registration with Patient Access Services and interact with referring physicians, patients, hospital and MSG staff to obtain quality information at scheduling or prior to exams.

Responsibilities include ongoing internal audits, reviewing denials, identifying issues and coordinating corrective

Qualifications

• Associate degree and 2 years of administrative experience or equivalent.
• coursework in Medical Terminology and Medical Coding.
• Knowledge of ICD-10, CPT-2020 coding principles is preferred.

Responsibilities

• Analyze OP admits for ABN waivers, pre-authorizations, referrals and demographics.
• Interact with physicians, patients, hospital and MSG staff to obtain accurate info at scheduling or before exams.
• Assist with pre-authorization and coordinate pre-registration with Patient Access Services.
• Conduct internal audits and maintain documentation; review insurance denials and suggest corrective actions.
• Review orders for clinical indications and provide ICD-10 coding; monitor billing regulations.

Skills

Medical Terminology

Medical Coding

ICD-10 Coding

Education

Associate degree

CPC or CCS (preferred)

Job description

SUNY Upstate Medical University in Syracuse seeks a billing/coding specialist to analyze OP admits for ABN waivers, pre-authorizations, referrals, and correct demographic data. You will coordinate pre-registration with Patient Access Services and interact with referring physicians, patients, hospital and MSG staff to obtain quality information at scheduling or prior to exams.

Responsibilities include ongoing internal audits, reviewing denials, identifying issues and coordinating corrective