Medical Record Coding Analyst - Potential Remote

Job Details

Req Id    57222 
Department    CODING 
Shift   Days
Shift Hours Worked    7.00 
FTE    1 
Work Schedule    SEMC NU 7.5 HR 
Employee Status    A1 - Full-Time 
Union  Non-Union

Job Summary

1. Under the general supervision of the Business Operations Manager, reviews Medical Record documentation to select and code applicable diagnoses and the following services for Medical Group providers according to ICD-9-CM and HCPCS or CPT-4 classification:

• Office Services – Family Practice, Internal Medicine, Pediatrics, Pediatric Pulmonology
• OB/GYN Services – in patient and out patient

Core Job Responsibilities

• Per review of Medical Record documentation, performs charge coding and diagnosis selection of out patient Family Practice and Internal Medicine billing services to include office services, point of care testing and procedures.
• Per review of Medical Record documentation, performs charge coding and diagnosis selection of out patient billing services for Pediatric and Pediatric Pulmonology services.
• Per review of Medical Record documentation, performs charge coding and diagnosis selection of out patient billing services for OB/GYN services.
• Per review of Medical Record documentation, performs charge coding and diagnosis selection of in patient or out patient OB/GYN services performed at St. Elizabeth Medical Center, St. Luke’s Hospital or Little Falls Hospital.
• In accordance with CMS medical necessity guidelines, reviews progress notes for applicable diagnoses if none are indicated on the super bills.  Appropriately applies modifiers and occurrence codes to reflect ABN and medical necessity coverage status.
• Maintains proficiency with the applicable Evaluation & Management guidelines.
• Maintains proficiency with guidelines and application of HCPCS, CPT-4 and ICD-9-CM.
• All other duties as assigned

Education/Experience Requirements

Required Experience: 3-12 months experience as a Professional Coder, or 2-3 ears medical office or medical out-patient related experience.

Licensure/Certification Requirements

Required: Certified Coding Specialist – Professional (CCS-P) or Certified Professional Coder (CPC)

EOE AA M/F/Vet/Disability

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.