Staff Assistant 2 - Radiology

SUNY Upstate Medical University; City of Syracuse (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

SUNY Upstate Medical University in Syracuse seeks a billing/coding specialist to analyze OP admits for ABN waivers, pre-authorizations, referrals, and correct demographic data. You will coordinate pre-registration with Patient Access Services and interact with referring physicians, patients, hospital and MSG staff to obtain quality information at scheduling or prior to exams.

Responsibilities include ongoing internal audits, reviewing denials, identifying issues and coordinating corrective

Qualifications

• Associate degree and 2 years of administrative experience or equivalent.
• coursework in Medical Terminology and Medical Coding.
• Knowledge of ICD-10, CPT-2020 coding principles is preferred.

Responsibilities

• Analyze OP admits for ABN waivers, pre-authorizations, referrals and demographics.
• Interact with physicians, patients, hospital and MSG staff to obtain accurate info at scheduling or before exams.
• Assist with pre-authorization and coordinate pre-registration with Patient Access Services.
• Conduct internal audits and maintain documentation; review insurance denials and suggest corrective actions.
• Review orders for clinical indications and provide ICD-10 coding; monitor billing regulations.

Skills

Medical Terminology

Medical Coding

ICD-10 Coding

Education

Associate degree

CPC or CCS (preferred)

Job description

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:

Associates 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:

Monday-Friday

Message to Applicants:

Recruitment Office: Human Resources

Executive Order:

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at [phone] or via email at [e-mail].