Medical Coding Specialist

2 weeks ago


New York, New York, United States Prosum Full time
Job Title: Medical Coding Specialist

We are seeking a skilled Medical Coding Specialist to join our team at Prosum. As a key member of our healthcare team, you will be responsible for accurately abstracting, reconciling, and reviewing procedure and physician documentation to ensure timely and accurate billing.

Key Responsibilities:

  • Support Soarian Financials Billing Edits and Billing Processes
  • Review and reconcile procedure documentation with supply charges and physician documentation
  • Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, CPT coding to accurately capture services provided
  • Enter Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR)
  • Consult with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes
  • Review, reconcile, and correct Cardiac Cath Lab charges in Cerner
  • Review and edit previously submitted charges as needed due to identified billing errors and/or insurance requirement changes
  • Provide completed patient data to billing staff or designated personnel

Requirements:

  • Specialized/Technical Training - Graduation from a formal coder training program or completion of academic class in medical coding
  • 2+ years with hospital coding or charge audit expertise

About Prosum:

We are a leading healthcare provider dedicated to delivering high-quality patient care and exceptional service. Our team is passionate about making a difference in the lives of our patients and communities.



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