Medical Records Coder I (JR228999)

Montefiore Hudson Valley Collaborative; New York (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

ViziRecruiter,LLC. is seeking a skilled coding specialist in New York, NY, responsible for accurate ICD-10 and CPT-4 coding. This role involves verifying codes, reviewing documentation, and resolving coding denials to ensure maximum reimbursement.

Candidates should have a high school diploma, CPC certification, and 1-3 years of experience with EPIC Electronic Medical Records System. Attention to detail and strong organizational skills are essential for success in this role.

Qualifications

• 1-3 years experience with EPIC Electronic Medical Records System.
• Detail-oriented with the ability to produce high volumes of accurate work.
• Ability to communicate effectively, both verbally and in writing.

Responsibilities

• Verify CPT-4 codes and identify ICD-10 codes.
• Review physician documentation for appropriate billing.
• Resolve coding denials to maximize reimbursement.

Skills

Attention to detail

Organizational skills

Strong interpersonal skills

Proficiency in MS Word and Excel

Knowledge of medical terminology

Education

High School Diploma

Bachelor's Degree (Preferred)

CPC Certification

Tools

EPIC Electronic Medical Records System

Job description

Overview

Responsible for the daily ICD-10 and CPT-4 coding of the department records. Responsible or billing, collection and related issues, such as edits, correspondence and accounts receivables. Other secretarial and clerical duties as required. Assist with the daily operations of the practice as needed. For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

Responsibilities

• Verifies CPT-4 codes and identifies principal and secondary ICD-10 codes
  * Coding is 100% accurate
• Reviews all physician documentation in EPF for appropriate billing and coding
  * Coding is 100% accurate to maximize reimbursement
• Reviews all TES/Medicode coding edits
  * Coding is 100% accurate
• Reviews and resolves all coding denials
  * Unpaid claims are reduced in a timely manner to maximize reimbursement
• Gathers, clarifies and verifies necessary patient treatment documentation from inpatient care areas
  * Documentation is obtained on a daily basis to ensure prompt and accurate billing to decrease billing lag days
• Generates all physician inpatient charges
  * Charges are complete and accurate
• Reconciles inpatient discharge report against EPF to capture all patient billing
  * Billing is complete and accurate to enhance charge entry process turn-around time
• Communicates with physicians to verify and clarify chart documentation
  * Charges accurately reflect documented treatment
• Assists in the training of new associates
  * New associates are properly trained
• Other duties as assigned
  * Assists with special projects and other functions as required
• Practices and promotes Montefiore Standards of Excellence (R-E-S-P-E-C-T)

Requirements

• High School Required
• BA Preferred
• 1-3 years experience with EPIC Electronic Medical Records System, clerical experience involving patient registration/billing/coding. Required
• CPC Certification Required
• The successful incumbent will be an energetic, focused team player with a positive outlook.
• She/he must possess excellent organizational skills, be detail oriented, able to produce high volumes of accurate work and remain flexible.
• She/he will be able to take direction and ask questions appropriately; be able to communicate effectively, both verbally and in writing; demonstrate ability to enter alpha/numeric data quickly; read, understand and follow verbal and written instructions; and work independently.
• Communicate new issues within a timely manner.
• Computers and applicable software, copiers, calculators and other routine office machines.
• Must be independent, able to multi task and exhibit strong interpersonal skills.
• Must be proficient in MS Word and/or Excel. Must have excellent knowledge of Epic electronic medical information system
• Must display good judgment skills.
• Some knowledge of HMO and managed care plans and covered benefits.
• Knowledge of Anatomy, physiology and Medical terminology.
• Always keep high level of professionalism.