Medical Coder Specialist

2 weeks ago

Schenectady, New York, United States Ellis Medicine Full time

**Job Summary:**

We are seeking a highly skilled Clinical Coding Specialist to join our team at Ellis Medicine. As a Clinical Coding Specialist, you will be responsible for managing charge entry and charge reconciliation for assigned physician practices.

**Key Responsibilities:**


  • Manage the charge entry and charge reconciliation process for assigned practices.
  • Review inpatient, surgery, and practice records for diagnoses and procedures and assign appropriate ICD-9-CM and CPT-4 codes using Allscripts and Soarian Financial Management systems.
  • Establish relationships with medical and dental staff, follow up with providers to ensure documentation supports diagnoses and E/M levels, and conduct weekly chart audits for practice providers to optimize accurate documentation and coding.
  • Manage the Encounter Billing Exception Worklist (EBEW) and related worklists, reducing and addressing claim issues and denials in a timely manner.
  • Assist in maintaining practice charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department.
  • Participate in ongoing education relevant to practice specialty, assist in training for new employees and coverage.
  • Work closely with the Practice Leader and RCA Supervisor to ensure timely implementation of updates and changes.
  • Maintain confidentiality to protect patient health information privacy, providing access to authorized individuals and entities, and safeguarding the integrity of electronic records.
  • Participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise.
  • Respond promptly to customer questions, provide excellent customer service, and collaborate with other departments throughout the organization.
  • Demonstrate knowledge of computer applications, specifically Soarian Financial Management, Soarian Scheduling, Soarian Clinicals (HIM Prod), and Allscripts.
  • Perform other duties as assigned.
  • Adhere to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET.

**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 outpatient coding experience 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.

**Salary Range:** $17.46-$25.32/hour. Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.


**Job ID:** PI254099120

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