Physician Anc Svcs Coder

Kaleida Health; Buffalo (NY); On-site; USD 30,000 - 44,000; Full time

Job summary

Kaleida Health is seeking a Physician Ancillary Services Coder at Golisano Children's Hospital in Buffalo, NY. The role focuses on validating and assigning CPT-4 and ICD-9-CM codes for clinic-based procedures and E&M services, ensuring accurate CDM charges, and validating medical necessity across tests.

Position requires RHIA/RHIT/CCS or CPC/CPC-H certification and at least one year in healthcare coding. Onsite work with varied shift options and potential site movement.

Qualifications

• RHIA,RHIT,CCS, or CPC/CPC-H Certification in approved coding program.
• Experience with physician billing requirements and documentation guidelines (1995 or 1997) preferred.
• One-year healthcare experience preferred.
• Excellent oral and written communication skills.
• Ability to interact with Kaleida coding team.

Responsibilities

• Validate/assign CPT-4 codes for clinic-based procedures and E&M services.
• Validate/assign ICD-9-CM diagnostic codes for physician and ancillary services.
• Ensure completeness of orders for ancillary tests from physician scripts or clinic records.
• Validate and post CDM-based charges in the host system.
• Verify medical necessity for clinic-ordered laboratory and ancillary tests per LMRP lists.
• May move between sites per work requirements and/or cross coverage.

Skills

Communication skills

Team collaboration

Interacts with coding team

Education

RHIA/RHIT/CCS or CPC/CPC-H Certification

Tools

Windows applications

Job description

Physician Anc Svcs CoderDepartment: GCH Ambulatory SupportLocation:Golisano Children's HospitalLocation of Job: US:NY:BuffaloWork Type: Full-TimeScheduled Work Hours:6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5pShift 1 Job DescriptionPosition 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 CredentialsRHIA, 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. ExperienceKnowledge 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 ConditionsEssential:

• Weight Requirement - Sedentary (10 lbs)
• Job DetailsStandard Hours Bi-Weekly:75.00
• FTE: 1.000000
• Weekend/Holiday Requirement:No
• On Call Required:No
• With Rotation:No
• Work Arrangement: Onsite
• Union Code: U05 - SEIU 1199 CHOB Clerical
• Grade: C7
• Pay Frequency: Bi-Weekly
• Salary Range:$21.43-$31.94
• Kaleida Healths 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!