Certified Professional Coder / Medical Biller

A major medical leader in healthcare practice management solutions has a need for a Certified Professional Coder / Medical Biller .

This is a hybrid, full-time position located in Melville, NY.

Candidates must have possession of an Certified Coding Specialist. (CCS) issued by AAPC.

2.5 Years of experience in Professional Coding.

Proficient in Coding and Billing Guidelines!!

This position is paying up to $81K a year.

Summary of Responsibilities :

• Analyzes and Code medical charts, all service area, Inpatient, Ambulatory Surgery, Cardiology, Observation, Interventional Radiology, Emergency Medicine, Clinics, Nursing Home, to ensure proper ICD-10-CM, CPT, HCPCS.
• Assists and assigned physicians in selecting proper CPT, Diagnoses and Modifier for medical procedures performed.
• Analyzes appropriate manually charge posted batches to ensures accuracy of ICD-10-CM and CPT code assignment.

Essential Duties and Responsibilities

• Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines.
• Codes and / or validates all out patient service area, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day.

Not limited to number of transactions filed.

• Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transaction filed.
• Review assigned work-queues charts to ensure all CPT and / or HCPCS charge codes are accurate based on physician documentation.
• Reviews and keeps updated with all physician billing, and coding guidelines.
• Assists physician in assigning CPT codes that represent treatment provided.
• Full knowledge of coding guidelines : Initial vs Subsequent, New vs Established, Sick vs. Preventative, Split Share and COVID-19.
• Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits.
• Full knowledge of company policies and procedures.
• Maintains confidentiality of patient information as per hospital policy
• Review Telemedicine Grid per Insurance to ensure proper billing.

Education and Work Experience :

• High School Diploma or General Education Degree (GED)
• College Preferred
• Preferred two-five years experience

Required Licenses / Certifications :

• Certified Professional Coder (CPC) or
• Certified Coding Specialists (CCS) or
• Certified Coding Specialists Physicians (CCSP)

Skills and Knowledge :

• Knowledge of company operating systems
• Full knowledge of CPT and ICD-10-CM coding.
• Computer proficiency in MS Office (Word, Excel)
• Ability to work under nominal supervision performing duties in an area where procedures are standardized but independent decisions required.
• Excellent written and oral communication skills.
• Knowledge of billing guidelines.
• Ability to work with all employment levels in a collaborative manner including physicians

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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