Senior Billing & Coding Specialist - CPT/ICD-10 Expert

Mount Sinai; New York (NY); Presencial; USD 58 661 - 81 675; Tempo integral

Resumo da oferta

The Mount Sinai Health System is seeking a physician coder to handle office, outpatient, and inpatient coding, ensuring accurate capture of revenue. You will educate staff on documentation requirements to improve coding quality and completeness.

You will validate coding levels by reviewing clinical notes, collaborate with clinical teams, and help implement documentation and revenue enhancement opportunities while minimizing denials.

Qualificações

• Associate degree required; CPC certification preferred.
• 5–10 years related experience in physician coding.
• CPC Certification required or equivalent credential.

Responsabilidades

• Perform specialty coding for services and medical office visits.
• Validate and determine appropriate coding levels by reviewing clinical documentation.
• Ensure documentation supports charges to prevent denials/underpayments.
• Collaborate with clinical staff to identify and implement documentation and coding modifications.
• Review CPT and ICD-10 code changes and ensure alignment with medical necessity policies.
• Identify and implement revenue enhancement opportunities with Sr. Billing Analyst.

Formação académica

Associate Degree

CPC Certification

Descrição da oferta de emprego

Description

Responsible for office, out-patient, and inpatient physician coding. Provides education regarding documentation requirements for improved quality of coding and to ensure accurate and complete capture of revenue.

Responsibilities

1.Responsible for performing specialty coding for services and medical office visits.

2.Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation.

3.Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.

4.Ensures that documentation supports charges to prevent denials/underpayments.

5.Follows-up on missing charge tickets and clinical documentation as appropriate

6.Assist with implementation of documentation and revenue enhancement opportunities.

7.Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications.

8.Reviews and distributes coding related information to clinical staff, including CPT and ICD-10 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.

9.In conjunction with Sr. Billing Analyst, identify relevant charge master or fee updates.

10.Responsible for resolving any coding related errors and denials that are identified by Hospital or Practice billing system as part of the revenue enhancement initiatives.

11.Consults and provides feedback with frontline clinical staff and financial coordinators to identify reimbursable indications for treatment.

12.Assists on reviews of revenue cycle with management and supervisor.

Qualifications

• Associate Degree
• 5-10 years related experience
• CPC Certification

Non-Bargaining Unit, AOS - Medicine Administration - BI, Mount Sinai Beth Israel

Employer Description

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58661 - $81675 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.