Billing Specialist - Senior CPC Highly Preferred

Mount Sinai Medical Center; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Mount Sinai Medical Center is seeking a dedicated physician coding specialist responsible for ensuring accurate and complete documentation and coding processes. The position involves validating coding levels, developing educational materials, and collaborating with clinical teams to enhance revenue capture. Join a leading health system committed to transformative healthcare and inclusive practices.

Qualifications

• Two years of related medical coding experience required.
• Four years of experience in medical practice or outpatient coding preferred.
• Medical practice business office experience is an asset.

Responsibilities

• Implements and manages office coding process for inpatient and outpatient services.
• Ensures proper documentation to prevent claim denials and underpayments.
• Collaborates with clinical staff on documentation and coding modifications.

Education

Associates Degree or HS Diploma/GED

CPC Certification

Job description

Description

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

Responsibilities

1. Implements and manages outpatient and provider coding process for inpatient and outpatient physician services.

2. Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation.

3. Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and related services have been accurately documented and captured.

4. Ensures that documentation supports charges to prevent denials/underpayments and to ensure adherence to compliance standards.

5. Follow-up on missing charge tickets and clinical documentation as appropriate.

6. Develop educational materials and policies/procedures to assist providers with the new regulatory or payer policies.

7. Identifies and assists with implementation of documentation and revenue enhancement opportunities.

8. Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications.

9. Reviews and distributes coding related information to clinical staff, including CPT and ICD-9 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.

10. Develops educational material and policies and procedures to assist providers with understanding new regulatory or payer policies as they relate to coding changes.

11. Assists in the development of fee schedule updates.

12. Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system.

13. Consults and provides feedback with front line clinical staff, administrators and financial counselors to identify reimbursable indications for treatment.

14. Continuously reviews revenue cycle with management team and supervisor.

15. Participates in education programs to maintain up to date coding skills.

16. Participates with the Compliance Department in random chart audits to ensure appropriate documentation, coding and billing.

17. May prepare presentations for physician and staff practices as needed.

18. May oversee the work of less experienced staff.

Qualifications

• Associates Degree or HS Diploma/GED plus two years of related medical coding experience
• Four years of experience in medical practice or outpatient coding
• Medical practice business office or patient accounts experience preferred.
• Certification: CPC from accredited institution preferred

Employer Description

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $21.63 - $38.7394 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.