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Physician Coder III, Physician Billing Specialist

2 months ago


Edison New Jersey, United States Hackensack Meridian Health Full time
About the Role

We are seeking a highly skilled Physician Coder III to join our team at Hackensack Meridian Health. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our coding practices.

Responsibilities
  • Assign codes for reimbursements, research, and compliance with regulatory requirements using guidelines and coding conventions.
  • Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
  • Analyze medical records and identify documentation deficiencies.
  • Review and verify documentation supports existing diagnoses, procedures, and other charges.
  • Identify reportable elements, complications, and other quality measures.
  • Communicate with physicians to clarify information via the physician query process.
  • Assign CPT, HCPCS, and ICD-10-CM codes.
  • Proficient in Profee Coding and E/M guidelines (95/97, 2021 update).
  • Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
  • Maintain required productivity and quality requirements.
Requirements
  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
  • Focused background in Physician and Profee coding with knowledge of E/M guidelines.
  • Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting.
  • Strong understanding of physiology, medical terms, and anatomy.
  • Proficiency in computer skills including typing speed and accuracy.
  • Excellent written and verbal communication skills.
  • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
Preferred Qualifications
  • Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.
  • Background in multi-specialty Physician services.
What We Offer

We offer a competitive benefits package and a collaborative work environment that supports the growth and development of our employees. If you are a motivated and detail-oriented individual with a passion for coding, we encourage you to apply for this exciting opportunity.