Direct message the job poster from The Goodkind Group, LLC
Managing Director at The Goodkind Group, LLC
Not remote / This role is onsite on Long Island, NY
MEDICAL CODER – PHYSICIAN BILLING ANALYST 81K
Certified Medical Coders needed to analyze and code medical charts, all service areas to ensure proper ICD-10, CPT, HCPCS. Analyzes appropriate manually charge posted batches to ensure accuracy of ICD and CPT assignment. MUST be certified as a Medical Coder with 3 years of Inpatient coding experience.
Responsibilities:
- Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines.
- Codes and/or validates all out patient service area, diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day.
- Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transaction filed.
- *Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.
- Reviews and keeps updated with all physician billing, and coding guidelines.
- Assists physician in assigning CPT codes that represent treatment provided.
- Full knowledge, of Coding guidelines: Initial vs Subsequent, New vs Established, Sick vs. Preventive, Split Share and COVID-19.
- Review Telemedicine Grid per Insurance to ensure proper billing.
- Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing claim Edits.
- Full knowledge of company policies and procedures.
- Maintains confidentiality of patient information as per hospital policy.
- Performs other incidental and related duties as required and assigned.
Education and Experience:
- High School Diploma or equivalent (GED)
- College Preferred
- Two – Five years experience
Required Licenses/Certifications:
- Certified Professional Coder (CPC) or
- Certified Coding Specialist (CCS) or
Knowledge:
- CPT and ICD-10 coding
- Proficient in MS Office (Word, Excel)
- Ability to work under nominal supervision performing duties in an area where procedures are standardized but independent decisions required
- Excellent written and verbal communication skills
- Knowledge of billing guidelines
- Ability to work with all employment levels in a collaborative manner including physicians
- Ability to multitask
Seniority level
Employment type
Job function
Job function
AnalystIndustries
Hospitals and Health Care
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Inferred from the description for this job
Medical insurance
Vision insurance
401(k)
Pension plan
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