Medical Coding Specialist - ICD-10, CPT & Compliance

Cornell Cooperative Extension; New York (NY); On-site; USD 44,000 - 49,000; Full time

Job summary

Cornell Cooperative Extension on the Upper East Side seeks a Medical Coding Specialist to review medical records for coding and documentation accuracy. You will assign ICD-10, CPT, and HCPCS codes, enter charges in the billing system, and support internal and external audits while maintaining HIPAA compliance and adherence to evolving reimbursement rules.

Must have about 2 years of physician billing experience, be able to work independently, and demonstrate strong organizational and analytical

Qualifications

• High school diploma required.
• Experience with CPT/ICD-10/HCPCS coding preferred.
• Knowledge of HIPAA and medical record documentation.
• Ability to work independently with confidentiality.

Responsibilities

• Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed.
• Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation. Identifies issues and patterns related to coding.
• Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs charge entry batch quality assurance.
• Reviews and resolves charge router and charge review edits, as needed.
• Submits queries to physicians, as appropriate, for documentation clarification.
• Participates in internal and external audits of billing operations and activities.
• Participates in annual and on-going mandatory compliance training. Fulfills Continuing Education Units necessary to maintain certification status.
• Keeps informed of changes in policy within the field.
• Stays abreast with compliance on federal, state health care laws, regulations and rules. Reports any differentiation from institutional or departmental procedures.

Skills

HIPAA compliance

Coding proficiency

Organizational skills

Problem solving

Multitasking

Microsoft Office

Education

High School Diploma

Tools

eMR system

Job description

Cornell Cooperative Extension on the Upper East Side seeks a Medical Coding Specialist to review medical records for coding and documentation accuracy. You will assign ICD-10, CPT, and HCPCS codes, enter charges in the billing system, and support internal and external audits while maintaining HIPAA compliance and adherence to evolving reimbursement rules.

Must have about 2 years of physician billing experience, be able to work independently, and demonstrate strong organizational and analytical