Certified Professional Coder / Medical Biller

A major medical leader in healthcare practice management solutions has a need for a Certified Professional Coder / Medical Biller. This is a hybrid, full-time position located in Melville, NY. 

This position is paying up to $81K a year.

Summary of Responsibilities:

• Analyzes and Code medical charts, all service area, Inpatient, Ambulatory Surgery, Cardiology, Observation, Interventional Radiology, Emergency Medicine, Clinics, Nursing Home, to ensure proper ICD-10-CM, CPT, HCPCS.
• Assists and assigned physicians in selecting proper CPT, Diagnoses and Modifier for medical procedures performed.
• Analyzes appropriate manually charge posted batches to ensures accuracy of ICD-10-CM and CPT code assignment.

Essential Duties and Responsibilities

• Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines.
• Codes and/or validates all out patient service area, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Not limited to number of transactions filed.
• Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transaction filed.
• Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.
• Reviews and keeps updated with all physician billing, and coding guidelines.
• Assists physician in assigning CPT codes that represent treatment provided.
• Full knowledge of coding guidelines: Initial vs Subsequent, New vs Established, Sick vs. Preventative, Split Share and COVID-19.
• Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing  Claim Edits.
• Full knowledge of company policies and procedures.
• Maintains confidentiality of patient information as per hospital policy
• Review Telemedicine Grid per Insurance to ensure proper billing.

• High School Diploma or General Education Degree (GED)
• College Preferred
• Preferred two-five years experience

• Certified Professional Coder (CPC) or
• Certified Coding Specialists (CCS) or
• Certified Coding Specialists Physicians (CCSP)

• Knowledge of company operating systems
• Full knowledge of CPT and ICD-10-CM coding.
• Computer proficiency in MS Office (Word, Excel)
• Ability to work under nominal supervision performing duties in an area where procedures are standardized but independent decisions required.
• Excellent written and oral communication skills.
• Knowledge of billing guidelines.
• Ability to work with all employment levels in a collaborative manner including physicians