CPC Billing Specialist

Upstate; City of Syracuse (NY); On-site; USD 28,000 - 49,000; Full time

Job summary

Upstate in Syracuse, NY is seeking an experienced A/R Specialist with CPC certification to oversee medical coding and billing processes. You will review clinical documentation to assign ICD-10-CM and CPT codes for anesthesia, critical care, and pain management procedures, ensuring compliance and maximum reimbursement.

Responsibilities include heavy AR follow-up, appeals and denials, and accurate EPIC documentation.

Qualifications

• High school degree and CPC certification with two years medical billing experience.
• Must be certified as a medical coder through AAPC or AHIMA.
• Will consider equivalent combination of education and experience. CPC-A with experience considered.

Responsibilities

• Review complex clinical documentation and diagnostic results to accurately assign ICD-10-CM and CPT codes.
• Code anesthesia, critical care, and pain management services to maximize reimbursement and compliance.
• Follow-up on outstanding claims; perform reconsiderations, appeals, and resubmissions as needed to resolve claims.
• Notate all billing and collection efforts in EPIC; re-verify patient insurance at registration.
• Handle patient billing-related calls promptly with professionalism and confidentiality.
• Process payments and set up payment plans with accuracy.

Skills

Medical billing

Accounts receivable

Communication

Attention to detail

Education

CPC Certification (AAPC/AHIMA)

Tools

EPIC

Job description

Job Summary:

Coding Responsibilities:

• Review complex clinical documentation and diagnostic results to accurately assign: ICD-10-CM, CPT codes
• Ensure maximum reimbursement and regulatory compliance for our anesthesia department. Includes coding the following services:
  • o Anesthesia
  • o Critical Care
  • o Pain management - Acute Pain, Pain Procedures, Surgical Cases, Office E/M

A/R specialist:

• Follow-up on outstanding claims timely and secure payment - unpaid, short-paid, credits and denials.
• Perform reconsiderations, appeals, corrected claims or resubmission as appropriate to resolve claims. Call insurance companies and complete claims activities on insurance portals to assist in resolving claims.
• Receive insurance correspondence (such as letters and remits) and handle timely.
• Appropriately notate all billing and collection efforts in EPIC
• Accurately re-verify insurance and update insurance on patient registration.
• Receive and return patients' billing-related phone calls promptly, utilizing appropriate etiquette, respect and confidentiality.
• Receive and process credit/debit payments and set-up payment plans.

Minimum Qualifications:

High school degree and CPC certification with two years medical billing experience. Must be certified as a medical coder through AAPC or AHIMA. Will consider equivalent combination of education and experience. Would consider CPC-A with experience

Preferred Qualifications:

Minimum of two years coding experience in a health care organization in addition to Accounts Receivable background.

Detail-oriented with a passion for accuracy, Strong knowledge of coding guidelines and compliance, effective communicator and collaborator, and proactive problem-solver who takes initiative.

EPIC Experience preferred.

Work Days:

Monday - Friday 7:00 - 3:30 pm

Message to Applicants:

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays

G4: $20.00 - $35.50

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.