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Billing Specialist
Ref No.: 22-32838
Location: Manhasset, New York
Job Title: Billing Specialist
Job Duration: 3 Months
Job Location:  Manhassat, NY 11030


Job Summary
Responsible for office, out-patient, and inpatient physician coding. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of revenue. Duties and Responsibilities • Implements and manages outpatient and provider coding process for inpatient and outpatient physician services. • Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation. • Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and related services have been accurately documented and captured. • Ensures that documentation supports charges to prevent denials/underpayments and to ensure adherence to compliance standards. • Follow-up on missing charge tickets and clinical documentation as appropriate. • Develop educational materials and policies/procedures to assist providers with the new regulatory or payer policies. • Identifies and assists with implementation of documentation and revenue enhancement opportunities. • Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications. • Reviews and distributes coding related information to clinical staff, including CPT and ICD-9 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items. • Develops educational material and policies and procedures to assist providers with understanding new regulatory or payer policies as they relate to coding changes. • Assists in the development of fee schedule updates. • Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system. • Consults and provides feedback with front line clinical staff, administrators and financial counselors to identify reimbursable indications for treatment. • Continuously reviews revenue cycle with management team and supervisor. • Participates in education programs to maintain up to date coding skills. • Participates with the Compliance Department in random chart audits to ensure appropriate documentation, coding and billing. • May prepare presentations for physician and staff practices as needed. • May oversee the work of less experienced staff.

Skills:
• Four years of experience in medical practice or outpatient coding • Medical practice business office or patient accounts experience preferred. • CPC from accredited institution preferred • Microsoft Office • Knowledge of computer medical billing and/or electronic medical record systems such as Epic and IDX • knowledge of federal, state and payer specific regulations and policies is required • Excellent verbal and written communication and computer skills. • In depth knowledge of CPT4 and ICD9 coding and its applications.