Medical Coding Specialist II - Prebilling & Denials Expert

Columbia University; New York (NY); On-site; USD 68,000 - 75,000; Full time

Job summary

The Coding Specialist at Columbia University Medical Center reviews and resolves pre-billing coding edits to ensure accurate reimbursement. Reporting to the Operation Billing Manager, you will initiate medical record reviews and communicate with clinical and billing staff to obtain clear documentation.

Responsibilities include resolving coding discrepancies, reducing accounts receivable, guiding clinical departments on prebilling edits, maintaining HIPAA compliance, and handling appeals with

Qualifications

• Bachelor's degree or equivalent in education and experience.
• CPC certification is required.
• Strong written and verbal communication skills.
• Knowledge of CPT and ICD coding.
• Working knowledge of contracts and payer requirements.

Responsibilities

• Review and resolve coding discrepancies in the prebilling system.
• Investigate and reduce accounts receivable by correcting rejected claims.
• Provide guidance on prebilling coding edits to clinical teams.
• Maintain HIPAA compliance and protect patient confidentiality.
• Handle coding-related appeals with insurers when needed.

Skills

CPC Knowledge

Communication skills

CPT/ICD coding knowledge

HIPAA/compliance

Education

Bachelor's degree or equivalent

Certified Professional Coder (CPC)

Tools

MS Office

Job description

The Coding Specialist at Columbia University Medical Center reviews and resolves pre-billing coding edits to ensure accurate reimbursement. Reporting to the Operation Billing Manager, you will initiate medical record reviews and communicate with clinical and billing staff to obtain clear documentation.

Responsibilities include resolving coding discrepancies, reducing accounts receivable, guiding clinical departments on prebilling edits, maintaining HIPAA compliance, and handling appeals with