Coder Specialist
3 days ago
CarePoint Health is a leading healthcare system in New Jersey, comprising three hospitals: Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center.
We provide 360-degree coordinated care by integrating medical facilities and physician networks.
With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and cares for over 300,000 individuals annually.
What You'll Be DoingAs a Coder Specialist, you will determine the extent of insurance coverage for patients' treatments.
You will review the appropriateness of CPT-4/ICD-10 coding and ensure that care provided corresponds to charges submitted.
You will also ensure compliance with Federal and State regulations and company policies governing Medicare and state payment systems.
Additionally, you may assist in identifying fraudulent non-plan billing practices and support the legal department with litigation preparation.
The Successful CandidateWill be able to abstract clinical information from medical records charts and documents.
Will assign appropriate ICD-10 and/or CPT-4 codes to patient records according to documentation.
Will perform other related duties as required and assigned.
Will serve as a resource to employees and respond to employee questions related to coding/billing.
Will have knowledge of various specialties, with OB being a plus.
Will meet regularly with the Director of Physician Billing to identify trends and work with physicians and staff to reduce denials.
Will develop and update training related to coding/billing.
Will plan and schedule special projects as requested by Management.
What We're Looking ForWe are seeking a highly skilled and detail-oriented individual with a High School/Associates Degree and CPC-A/AAPC Certified Professional Coder (CPC) certification.
You should have personal computer skills, including Microsoft Office, and a working knowledge of CPT, ICD-10, and HCPCS.
You should also possess strong analytical and oral/written communication skills, as well as the ability to work well with others.
We offer a competitive salary, medical, dental, and vision insurance, 401k with Company match, generous paid time off, paid Holidays, Tuition Reimbursement, and Advancement and career development opportunities.
CarePoint Health is an Equal Opportunity Employer, and we welcome applications from diverse candidates.
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