Medical Coder II - Outpatient at Ellis Medicine – Schenectady, New York

BASIC FUNCTIONS:

The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG).

This includes but is not limited to (

1) managing the charge entry and charge reconciliation process for the assigned practice(s),

(2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims,

(3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms,

(4) ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and

(5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership, healthcare practitioners, practice management and staff;

(6) Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question;

(7) Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Additionally, all Medical Coders will participate in regularly scheduled cross-functional work groups to coordinate and improve revenue cycle activities within all EMG practices and across Ellis Medicine. This position has significant responsibility for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner.

EDUCATION AND EXPERIENCE REQUIREMENTS:

Education: High School Diploma or Equivalent required.

Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS),

Registered Health Information Technician (RHIT) or Registered Health

Information Administrator (RHIA) required.

Experience: Two to five years of out-patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations.

Salary Range: $17.46-$25.32/hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.