Medical Coder

    • Job Tracking ID: 512690-781898
    • Job Location: Bronx, NY
      Auburn
    • Job Level: Mid Career (2+ years)
    • Level of Education: 2 year degree
    • Job Type: Full-Time/Regular
    • Date Updated: August 03, 2021
    • Years of Experience: Up to 2 Years
    • Starting Date: ASAP
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Job Description:

Help Cayuga Centers to achieve and maintain agency-wide efficiency in managing all Medicaid coding for billable services.

HOURS PER WEEK: Non Exempt

  • Regular hours entail 9:00am - 5:00pm, Monday - Friday. Must be flexible to meet program needs.

FUNCTIONS:

  • Analyze provider documentation to ensure accurate compliant coding of therapy services and other services based on current coding guidelines and assures compliance with coding rules and regulations according to regulatory agencies
  • Review medical and clinical documentation from therapists and team members to assign modifiers, diagnostic and procedure codes for group/individual/family psychotherapy, behavioral/emotional assessments, evaluation services, testing administration and evaluation services, prolonged services, and mental health service plans according to official classification systems and standards
  • Clarify conflicting, ambiguous, or non-specific information appearing in a medical record by consulting the providers
  • Provide support, education and training related to quality of documentation to aid in compliant coding
  • Research, analyze and respond to inquiries regarding inappropriate coding, denials, rejections or billable services.
  • Monitor coding changes to ensure the most accurate and up-to-date coding is being performed
  • Work on special coding or projects when needed
  • Assist with any appeals, when needed, to advise on medical necessity or other issues
  • Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role
  • Understand and support the Medicare, Medicaid and Commercial Carrier workflows related to daily coding, denial reviews and appeals management, including the preparation of supporting documents and information to support the appeal process

Experience and Skills:

  • Associate degree in health, human services, or related field required
  • Experience with CPT coding
  • Medicaid and/or medical insurance coding experience required
  • Knowledge or experience of non-profit organizations and billing procedures, mental health counseling, and at-risk populations preferred
  • Candidate with RHIT, RHIA, CCS, CCS-P, CPC, or CPC-H credentials preferred
  • Knowledge of EMR/EHR

PHYSICAL REQUIREMENTS:

  • Sitting for extended periods of time
  • Driving to and from agency locations as needed and as assigned
  • Walking up and down stairs inside/outside
  • Must have ability to type and hand-write documentation and maintain proper files

 

Benefits

As a full time benefits position, staff is eligible to enroll in medical, dental, vision, FSA, supplemental life insurance, critical illness, enhanced short-term disability, and 401(k) benefits.