ESSENTIAL JOB FUNCTIONS:
1. Runs & corrects all pre-billing claim edits ensure that no errand codes are present and corrects system errors such as queue errors.
2. Manages the post billing discrepancy process:
· Identifies and corrects post-billing discrepancy coding
· Identifies and corrects submission coding errors
3. Assists with the second level review corrections which includes coding corrections are instructed. Performs all pre and post billing claim edits for resubmission.
4. Performs the claims billing process including posting charges and producing claims. Maintain compliance with TAT and submission standards.
5. Assists with reviewing all departmental materials a minimum of yearly or as needed for coding for process updates.
6. Assists with reviewing and updates of all Policy & Procedures for responsible processes a minimum of yearly and as needed for process updates.
7. Maintain strict confidentiality of patient information and adhere to all HIPAA regulations.
8. Maintain compliance with all coding guidelines and regulations including ICD-10, CPT, and HCPCS.
QUALIFICATION REQUIRMENTS:
High School Graduate, Bachelor’s degree a plus, CPC (Certified Professional Coder) certificate perferred
EXPERIENCE” SKILLS, KNOWLEDGE, ABILITIES:
· In-depth knowledge of ICD-10, CPT, and HCPCS coding systems
· Knowledge of Medicare Billing
· Proficient in Excel
· Familiarity with medical terminology, anatomy, and physiology
· Strong attention to detail and ability ti multi-task effectively
· Proven ability to work independently and collaboratively in team-oriented environment.
Pay: $68,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
License/Certification:
- Certified Professional Coder (Preferred)
Work Location: Hybrid remote in Garden City, NY 11530
