Certified Medical Coder Job at The Goodkind Group, LLC, Farmingdale, NY

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  • The Goodkind Group, LLC
  • Farmingdale, NY

Job Description

Not remote / This role is onsite on Long Island, NY

MEDICAL CODER – PHYSICIAN BILLING ANALYST 81K

Certified Medical Coders needed to analyze and code medical charts, all service areas to ensure proper ICD-10, CPT, HCPCS. Analyzes appropriate manually charge posted batches to ensure accuracy of ICD and CPT assignment. MUST be certified as a Medical Coder with 3 years of Inpatient coding experience.

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.
  • 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. Preventive, Split Share and COVID-19.
  • Review Telemedicine Grid per Insurance to ensure proper billing.
  • 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.
  • Performs other incidental and related duties as required and assigned.

Education and Experience:

  • High School Diploma or equivalent (GED)
  • College Preferred
  • Two – Five years experience

Required Licenses/Certifications:

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

Knowledge:

  • CPT and ICD-10 coding
  • Proficient 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 verbal communication skills
  • Knowledge of billing guidelines
  • Ability to work with all employment levels in a collaborative manner including physicians
  • Ability to multitask

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