CPC-A Certified Coding & Compliance Specialist

UR Thompson Health; Town of Canandaigua (NY); On-site; USD 28,000 - 34,000; Full time

Job summary

Thompson Health in Canandaigua, NY is seeking a Billing Specialist who excels in customer service and regulatory knowledge. You will handle third-party insurance billing, collaborate with patients, payer representatives and care teams, and ensure compliance with federal and state rules.

Responsibilities include auditing medical records for coding accuracy (E/M, modifiers, critical care), generating reports with the EMR and external vendors, and using Excel and Word to support documentation.

Qualifications

• CPC-A required; CPC or CPC-H preferred
• Associates degree preferred
• 3-5 years healthcare experience preferred
• Billing experience preferred
• Excellent public/patient relations and communication skills
• Skills in using Excel and Word required

Responsibilities

• Coordinate and conduct periodic medical record audits for providers to assess coding and billing compliance.
• Develop reports as directed; report findings to management and providers.
• Communicate with patients, payer representatives, and associates throughout the Health System.
• Assist with third party insurance billing and regulatory compliance (federal and state).
• Proactively resolve problems and implement process changes.

Skills

Customer service

Communication

Team building

Problem solving

Patient communication

Reporting

EMR navigation

Detail oriented

Organization

Education

CPC-A

CPC/CPC-H

Associates degree

Tools

EMR

Excel

Word

Outlook

PowerPoint

Job description

Thompson Health in Canandaigua, NY is seeking a Billing Specialist who excels in customer service and regulatory knowledge. You will handle third-party insurance billing, collaborate with patients, payer representatives and care teams, and ensure compliance with federal and state rules.

Responsibilities include auditing medical records for coding accuracy (E/M, modifiers, critical care), generating reports with the EMR and external vendors, and using Excel and Word to support documentation.