Staff Assistant 2 - Radiology

Upstate Medical University; City of Syracuse (NY); On-site; USD 42,000 - 62,000; Full time

Job summary

A healthcare institution in Syracuse is seeking an individual to analyze outpatient admissions for billing requirements, ensuring compliance with advanced beneficiary notices and medical coding. Candidates should have an Associate’s degree and relevant experience, ideally in medical coding. Responsibilities include interacting with healthcare staff, conducting audits, and managing insurance documentation. This role requires excellent knowledge of billing regulations and ICD-10 coding principles. Work hours are full-time, Monday to Friday, with potential overtime.

Qualifications

• Associate’s degree and 2 years relevant experience in an administrative role.
• Specialized training in Medical Coding or Medical Assistant Program.

Responsibilities

• Analyze OP admits for appropriate billing requirements.
• Interact with physicians and patients for quality information.
• Conduct ongoing internal audits and maintain documentation.
• Review insurance denials and recommend corrective actions.
• Review insurance denials and identify corrective actions.
• Review orders for clinical indications and provide ICD-10 coding.
• Monitor billing/compliance regulations and assess impact on operations.

Skills

Medical Coding

Insurance Billing

ICD-10 Knowledge

Medical Terminology

Education

Associate's degree or equivalent experience

Coursework in Medical Terminology

Job description

Overview

Job Summary Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding. Will interact with referring physicians, patients, hospital and MSG staff ensuring quality demographic and clinical information is obtained at the time of scheduling or prior to when the exam is ordered. Assist with pre-authorization as needed and coordinate any pre-registration requirements with Patient Access Services. Conduct ongoing internal audits and maintain all documentation. Review and analyze insurance denials, identifying problem areas and recommending and coordinating corrective actions. Review orders for appropriate clinical indications and provide ICD-10 coding. Monitor new billing/compliance regulations for both the Hospital and MSG to determine the impact on operations and charging issues.

Minimum Qualifications

• Associate’s degree and 2 years relevant experience in an administrative role or equivalent combination of education and experience may be considered.
• Additional course work or specialized training pertaining to Medical Terminology, Medical Coding, Medical Assistant Program.

Preferred Qualifications

• Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) also preferred.
• Extensive knowledge of billing requirements according to payer; working knowledge of ICD-10, CPT-2020 coding principles and medical terminology preferred.

Work Days

40 hrs/week Monday-Friday; Specific hours to be determined. May be required to work overtime based on departmental needs.

Message To Applicants

Recruitment Office: Human Resources