Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice

Hackensack Meridian Health; Hackensack (NJ); On-site; USD 31,000 - 44,000; Full time

Job summary

Hackensack Meridian Health is seeking a Billing Coordinator / Coder to manage daily outpatient billing operations and coding workflows. This on-site role requires accurate ICD-10-CM, CPT, and HCPCS coding guided by CMS directives across the network.

Responsibilities include data abstraction, entry into the EMR, and liaison with physicians and patients to resolve inquiries, while ensuring productivity and coding quality standards.

Qualifications

• Minimum 1 year of coding for professional services.
• Strong knowledge of ICD-10-CM, CPT, HCPCS guidelines.
• Excellent written and verbal communication skills.

Responsibilities

• Coordinates information of a patient’s medical record for submission to the billing service.
• Verifies patient insurance and addresses billing inquiries with patients.
• Ensures receipt of authorization/referral and completion of forms.
• Analyzes medical records and identifies documentation deficiencies.
• Daily monitoring of coding and billing corrections for accuracy.
• Assigns CPT, HCPCS and ICD-10-CM codes for reimbursement.
• Communicates with physicians/APPs for missing documentation.
• Maintains productivity and coding quality as per policy.
• Complies with organizational policies and reports discrepancies to management.

Skills

Medical coding

Data entry

Verbal communication

MS Office

Education

High School diploma or GED

CCS/CPC or similar coding credential

AHIMA or AAPC credential preferred

1 year professional coding experience

Tools

Microsoft Office

Google Suite

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

• This is an on-site postion**

A day in the life of a Billing Coordinator / Coder at Hackensack Meridian Health includes

• Coordinates pertinent information of a patient's medical record for submission to the physician billing service.
• Verifies patient's insurance and acts as a liaison with patients regarding charges, answers billing inquiries and assists with outstanding bills.
• Ensures proper receipt of authorization / referral and completion of all forms.
• Analyzes medical records and identifies documentation deficiencies.
• Daily monitoring of all WQ`s for coding and billing corrections.
• Assigns codes to clinical services performed for use in reimbursement and data collection.
• Assign CPT, HCPCS and ICD-10-CM codes.
• Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation for proper coding is missing or incomplete.
• Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
• Maintains required productivity and quality requirements
• Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
• Other duties and/or projects as assigned.

Education, Knowledge, Skills and Abilities Required

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs
• Minimum of 1 year of coding for professional services
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
• Must be able to achieve and maintain appropriate coding quality and productivity as established by HMH Compliance

Education, Knowledge, Skills and Abilities Preferred

• Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired

Licenses and Certifications Required

• Certified Coding Specialist or Certified Outpatient Coder or Certified Professional Coder or Certified Coding Specialist - Physician Based.

Licenses and Certifications Preferred

• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Minimum rate of $27.13 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to
Labor Market Data Compensation is benchmarked against market data to ensure competitiveness.
Experience Years of relevant work experience.
Education and Certifications Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
Skills Demonstrated proficiency in relevant skills and competencies.
Geographic Location Cost of living and market rates for the specific location.
Internal Equity Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
Budget and Grant Funding Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.