Medical Billing Specialist

1 week ago

Elmhurst, New York, United States Mount Sinai Hospital Full time
Job Summary

We are seeking a highly skilled Medical Billing Specialist to join our team at Mount Sinai Health System. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and coding of patient services.

Responsibilities
  • Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM, ICD-10CM, and HCPCS codes for a multi-specialty group practice.
  • Maintain a working knowledge of CPT and ICD-9/10CM coding principles, governmental regulations, protocols, and third-party requirements regarding coding and billing documentation.
  • Utilize the Correct Coding Initiative (CCI) edits for accurate assignment of codes and make use of Local Coverage Determinations for medical necessity.
  • Identify areas for improvement in documentation as related to compliance and billing, and query or meet with physicians regarding documentation and deficiencies.
  • Review edits, denials, and requests for additional information from the accounts receivable team to ensure timely processing of claims and capture of all revenue.
  • Maintain daily logs of coded work and assure that operative reports and other third-party regulatory information are pertinent to coding requirements.
  • Work with management and the billing vendor daily to reduce denials and accounts receivable.
  • Attend classes, seminars, or training to keep current with CPC certification.
  • Review, modify, and recommend changes to policies and procedures to improve coding.
Requirements
  • High school diploma or equivalent required.
  • Knowledge of medical terminology, ICD-9CM, ICD-10CM, and CPT 4 coding certification obtained through completion of a certificate course with CPC/CCS-P credentials.
  • At least six months of coding experience preferred.
  • Certified Professional Coder/AAPC.
  • Ability to use computer, average dexterity, and knowledge of software applications such as Microsoft, Excel, etc.
  • Ability to work independently with minimal supervision at a high level of productivity.
  • Ability to examine scanned documents, such as operative reports, to determine accuracy of coding.
  • Ability to prioritize own work and proceed with minimal supervision.
  • Ability to maintain strictest confidentiality according to HIPAA regulations.
  • Ability to work effectively with others as well as physicians.
  • Ability to perform effectively with various commercial and hospital computer applications.
About Us

Mt. Sinai Health System is committed to diversity, equity, and inclusion. We strive to create an environment where all feel valued, belong, and can advance professionally. We are passionate about addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.

We are an equal opportunity employer and do not discriminate on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.

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