Radiology Administrative Specialist: Billing & Scheduling

Upstate; City of Syracuse (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

Upstate Health is seeking a Billing and Coding Analyst to analyze ABN waivers, pre-authorizations, referrals, and insurance demographics to ensure accurate documentation and medical necessity.

You will collaborate with physicians, patients, and hospital staff to obtain correct information at scheduling and coordinate pre-registration, audits, and denial reviews while monitoring coding rules and payer requirements.

Qualifications

• Associates degree with 2 years in an administrative role or equivalent.
• Course work in Medical Terminology, Medical Coding or Medical Assistant program.
• Preferred CPC or CCS certification is a plus.

Responsibilities

• Analyze ABN waivers, pre-authorizations, referrals, and demographics for accuracy.
• Ensure medical necessity and documentation meet coding standards.
• Interact with physicians, patients, and staff to obtain correct information.
• Conduct audits, review insurance denials, and identify improvement actions.

Skills

Medical terminology

ICD-10 coding

CPT coding

Pre-authorization

Documentation auditing

Education

Associates degree

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Job description

Upstate Health is seeking a Billing and Coding Analyst to analyze ABN waivers, pre-authorizations, referrals, and insurance demographics to ensure accurate documentation and medical necessity.

You will collaborate with physicians, patients, and hospital staff to obtain correct information at scheduling and coordinate pre-registration, audits, and denial reviews while monitoring coding rules and payer requirements.