Physician Anc Svcs Coder

Kaleida Health; Buffalo (NY); On-site; Full time

Job summary

An established industry player is seeking a detail-oriented Physician Ancillary Services Coder to join their team. This role involves validating and assigning CPT-4 and ICD-9-CM codes for clinic-based procedures, ensuring the accuracy of medical necessity for tests, and maintaining compliance with billing guidelines. The ideal candidate will have relevant certifications and experience in a healthcare environment, along with strong communication skills. This position offers a chance to contribute to a vital healthcare mission while working in a supportive and collaborative team atmosphere.

Qualifications

• Must have certifications in coding programs.
• Knowledge of physician billing requirements preferred.

Responsibilities

• Validate and assign CPT-4 and ICD-9-CM codes for procedures.
• Ensure completeness of orders for ancillary tests.

Skills

CPT-4 Coding

ICD-9-CM Coding

Medical Necessity Verification

Healthcare Billing Knowledge

Communication Skills

Education

RHIA Certification

RHIT Certification

CCS Certification

CPC/CPC-H Certification

Tools

Windows Applications

Job description

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Job Description

Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage.

Location: Oishei Children's Hospital

Location of Job : US:NY:Buffalo

Work Type : Full-Time

Shift 1

Job Description

Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage.

Education And Credentials

RHIA, RHIT, CCS, or CPC/CPC-H Certification in approved coding program required with successful completion of the Kaleida Outpatient Coding and medical terminology assessment. Successful completion of the Basic Computer Skills assessment.

Experience

Knowledge of physician billing requirements and documentation guidelines (1995 or 1997) preferred. One-year experience in healthcare environment preferred. Experience with personal computers and Windows applications. Excellent oral and written communication skills. Understands Team concept and has the ability to interact with Kaleida coding team.

Working Conditions

Essential

• Weight Requirement - Sedentary (10 lbs)
  
  

Job Details

Department : OCH Ambulatory Support

FTE: 1.000000

Standard Hours Bi-Weekly : 75.00

Weekend/Holiday Requirement: No

On Call Required : No

With Rotation: No

Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p

Work Arrangement : Onsite

Union Code : U05 - SEIU 1199 CHOB Clerical

Requisition ID# : 2409

Recruiter : Danielle Harwell

Grade : C7

Pay Frequency : Bi-Weekly

Salary Range: $ 20.81 - $31.01

• Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.
  
  

Kaleida Health’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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