Coder- Reimbursement Specialist
2 weeks ago
CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals.
CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.
What You'll Be DoingDetermines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation.
The successful candidate will be able to
- Abstracts clinical information from a variety of medical records charts and documents
- Assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to documentation
- Performs other related duties as required and assigned.
- Serves as a resource to employees and responds to employee questions related to coding/billing
- Knowledge of various specialties. OB a plus.
- Meets regularly with Director Physician Billing to identify trends and work with physician and staff to reduce Denials.
- Develops / updates and performs training related to coding/billing
- Plan and schedule special projects as requested by Management.
- Other duties as assigned.
- High School /Associates Degree
- CPC – A /AAPC Certified Professional Coder (CPC).
- Personal computer skills including but not limited to Microsoft Office
- Working knowledge of CPT, ICD-10 and HCPCS
- Strong analytical and oral/written communication skills.
- Ability to work well with others.
- Strong interpersonal, and relationship building skills.
- Ability to maintain independence and objectivity,
- Must be able to organize, prioritize and complete tasks within established time constraints.
- Must have good planning and organizational skills
- Competitive pay
- Medical, dental, and vision insurance
- 401k with Company match
- Generous paid time off
- Paid Holidays
- Tuition Reimbursement
- Advancement and career development opportunities
Influenza Vaccinations are a requirement for employment at CarePoint Health.
CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.
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