Medical Coder II

McClellan Street Health Center – Schenectady, NY

The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practices codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6) Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question; (7) Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Additionally, all Medical Coder will participate in regularly scheduled cross-functional workgroups to coordinate and improve revenue cycle activities within all EMG practices and across Ellis Medicine. This position has significant responsibility for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner.

Requirements

High School Diploma or Equivalent required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required.
Two (2) - five (5) years of out patietnt coding experiance required.
Hospital, physician practice or insurance coding and billing experience required.
Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations.
Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word.
Experience with Siemens Soarian systems and Allscripts electronic health record preferred.

Responsibilities
  • Responsible for managing charge entry and charge reconciliation for the assigned physician practice(s).
  • Responsible for reviewing Inpatient, Surgeries, and Practice records for diagnoses and procedures and assigns the appropriate ICD-9-CM and CPT-4 codes utilizing the Allscripts and the Soarian Financial Management Systems.
  • Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question. Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding.
  • Responsible for managing the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely.
  • Assists in the maintenance of the practices charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department.
  • Responsible for participation in on-going education relevant to practice specialty, assists in training for new employees and coverage.
  • Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely.
  • Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records.
  • Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).
  • Responds promptly to customer questions, provides excellent customer service and collaborates with other departments (PBO) throughout the organization.
  • Medical Coder demonstrates knowledge of computer applications, specifically Soarian Financial Management, Soarian Scheduling, Soarian Clinicals (HIM Prod), and Allscripts.
  • The Medical Coder performs other duties as assigned.
  • Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET.
  • All Jobs in Schenectady, NY

    • Medical Coder II

      McClellan Street Health Center Schenectady, NY

      View Job
    • Office Administrator

      The Business Hub Saratoga Springs, NY

      View Job
    • Help Wanted

      A J Signs Burnt Hills, NY

      View Job
    • Production Employee - Mat Rolling & Load Building

      UniFirst Watervliet, NY

      View Job
    • Technology Sales Associate

      Staples Glenmont, NY

      View Job
    • Babysitter

      Selkirk, NY

      View Job
    • Receptionist Part Time

      The Grand Rehabilitation and Nursing at Guilderland Altamont, NY

      View Job
    • Search Marketing Specialist

      Mountain Media Saratoga Springs, NY

      View Job
    • Senior Project Manager

      CSArch Architecture Albany, NY

      View Job
    • Licensed Veterinary Technician (LVT)

      Malta Animal Hospital Malta, NY

      View Job
    • Finance and Insurance Manager - Northeast Acura - Latham, New York, US

      Northeast Acura Latham, NY

      View Job

    Featured Articles

    Advanced Java Online Training By Experts

    20 April 2016

    Advanced Java online training is a comprehensive study of many advanced Java topics, such as collection classes, searching and sorting, assertions, logging, threads, serialization, etc. It familiarizes with file handling, I/O stream, and teaches to use streams to communicate over network sockets.The

    read more..

    SAP MM Online Training

    22 April 2016

    SAP Material Management (MM) is a functional system/module that deals with inventory management and procurement handling. It is one of the largest modules and integrates well with other SAP modules like QM, PP and SD. Its main features are credit, good receipt, bill of material, purchase orders, acc

    read more..

    SAP SCM Online Training Complete Course

    28 April 2016

    SAP Supply Chain Management (SCM) is a complete solution module of SAP which covers topics like supply chain coordination, supply chain networking, and supply chain execution (SCE). It includes a collection of planning applications related to optimization, scheduling, advanced planning and integrati

    read more..

    WCF Online Training With Complete Syllabus

    19 April 2016

    Windows Communication Foundation (WCF) is an API in the .NET framework. It supports distributed computing where consumers consume services. Services can be consumed by multiple clients and clients can consume multiple services. It covers quality attributes like reliability, transactional integrity a

    read more..

    Thanks For Your Feedback

    Attach A Resume First