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BILLING SPECIALIST

Full/Part Time: Full Time
Location/Affiliates: Elmhurst Hospital Center
Department: A90 - FPG
Requisition Number: EHC14-50175

Job Description:

-Coder will be responsible for reviewing the services provided and assign the appropriate CPT, ICD-9CM and HCPCS codes and modifiers.

-Maintains a working knowledge of CPT and ICD-9CM coding principles, governmental Regulations, protocols and third party requirements regarding coding and billing documentation.

-Codes electronic charts for the Emergency Department (HMED) and determine the accuracy of documentation requirement for chart completion. Also code paper charts for the Psychiatry Emergency Department as well as OBS paper charts.

-Maintains procedure code master files through updating of codes in a timely manner.

-Maintains daily logs of coded work.

-Meets with physicians regarding documentation deficiencies for both electronic and paper charts.

-Utilize the Correct Coding Initiative (CCI) edits for accurate assigning of code and make use of the Local Coverage Determinations for medical necessity.

-Attends various meetings and seminars pertinent to one's development.

-May train other coding specialists in coding update after seminars or conference.

-Reviews, modifies and recommends changes to policies and procedures to improve coding.

-Sends and follows up with coding queries to physicians regarding clarification of coding in electronic documentation in HMED.

-Performs other related duties as assigned.

Job Qualifications:

-Requires a level of understanding that is obtained or acquired through the completion of a High School Diploma.
-Must have knowledge of Medical Terminology, Anatomy & Physiology, procedure techniques, medications and disease processes. ICD-9CM and CPT 4 coding required through a completion of certificate course with CPC / CCS-P or CCS-H credentials.
-Must possess a minimum of one year experience in coding for an academic medical center.
-Certified Professional Coder.
-Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft, Excel, etc.
-Ability to work independently with minimal supervision at a high level of productivity.
-Ability to examine scanned documents, to determine accuracy of coding.
-Ability to prioritize own work and proceed with minimum supervision.
-Ability to maintain strictest confidentiality according to HIPAA regulations.
-Ability to work effectively with others as well as physicians.
-Be able to perform effectively with various commercial and hospital computer applications.
Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds.
Mount Sinai Medical Center--An EEO/AA-D/V Employer.

Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds. Mount Sinai Medical Center--An EEO/AA-D/V Employer.

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