Medical Coding Specialist

1 month ago


Westbury, New York, United States PsychiaTreat Full time
Job Summary

We are seeking a highly skilled Medical Coding Specialist to join our team at PsychiaTreat. As a key member of our billing department, you will be responsible for accurately coding mental healthcare claims to ensure reimbursement from insurance companies.

Your primary focus will be on reviewing claims data to ensure that assigned diagnosis and CPT codes meet required medical necessity prior to submission. You will also analyze and resolve insurance denials and correspond with insurance companies and healthcare professionals to resolve any issues.

In addition to your technical skills, you will be expected to maintain patient confidentiality at all times and report any findings of any type of violation to the Chief Operations Officer and the Chief Compliance Officer.

Key Responsibilities:

  • Assign appropriate ICD10/CPT codes to patient visits based on the legal medical record
  • Translate the healthcare provider's diagnostic and procedural phrases into a coded form
  • Obtain necessary clarification of information on the notes and charts from the provider
  • Identify missing or incomplete medical records
  • Review claim edits/errors within the billing system to ensure accuracy of coding and billing requirements
  • Complying with medical coding guidelines and policies
  • Review, research and respond to provider and operating management inquiries about the coding of visits
  • Promote an atmosphere of open communication, teamwork, and staff input in the decision-making process

Requirements:

  • High School Diploma or GED (Required)
  • Active CPC certification (Preferred)
  • 5+ years ICD-10/Coding and EMR/EHR experience (Required)
  • Strong organization, critical thinking and problem resolution skills
  • Background check required

We offer a competitive starting salary, bonus incentives, and generous PTO days. If you are a detail-oriented and organized individual with a passion for medical coding, we encourage you to apply for this exciting opportunity.



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