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We are seeking a detail-oriented and knowledgeable Medical Coder Analyst to join our healthcare team. The ideal candidate will be responsible for accurately coding medical records, ensuring compliance with industry standards, and supporting the billing and reimbursement processes. This role requires a strong understanding of ICD-10-CM, CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and physiology. The Medical Coder Analyst plays a vital role in maintaining the integrity of medical documentation and optimizing revenue cycle management. Candidates with prior experience in medical office settings and proficiency with EMR/EHR systems are highly preferred. Seeking Certified Medical Coder with at least one to two years experience. Responsibilities • Analyze provider documentation for diagnosis, procedures, modifier, date of service and place of service following billing and coding guidelines., • Code and/or validates all outpatient service areas, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Not limited to number of transactions 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: New vs Established vs Aftercare, • Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits., • Maintains confidentiality of patient information as per office practice policy, • Collaborate with healthcare providers to clarify documentation discrepancies or ambiguities., • Assist in medical record audits to ensure proper documentation and coding accuracy., • Support medical collections efforts by providing necessary documentation for claims processing and appeals., • Utilize EMR/EHR systems efficiently to retrieve, review, and document patient information., • Maintain confidentiality of patient records while adhering to HIPAA regulations., • High School Diploma or General Education Degree (GED), • College Preferred, • Certified Professional Coder (CPC) or, • Certified Coding Specialist (CCS) or, • Knowledge of proper application of ICD-10-CM, CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic medical terminology, anatomy and physiology, • Orthopedic coding & billing experience a plus, • Computer proficiency in MS Office (Word, Excel), • Ability to work under normal supervision performing duties in an area where procedures are standardized but independent decisions required, • Excellent written and verbal communication skills, • Knowledge of billing guidelines, • Ability to work with all employment levels in a collaborative manner including physicians, • Ability to multitask, • Experience working with EMR/EHR systems is highly desirable., • Prior experience in a medical office environment or healthcare setting is preferred.

Job Description We are seeking a EPIC Billing Analyst to become an integral part of our team! This position is for our Garden City location. An Epic Billing Analyst is a healthcare IT professional specializing in the Epic electronic health record (EHR) system, focusing specifically on billing and revenue cycle functions. Responsibilities: • System Configuration and Optimization: Configure and maintain Epic's Resolute Professional Billing or Hospital Billing module to manage charges, benefit engines, claims, and payment processors., • Workflow Analysis and Improvement: Analyze workflows, data collection, and report details to identify areas for improvement and implement application solutions., • Support and Troubleshooting: Act as a primary support contact for end-users, resolving application issues and providing technical assistance., • Implementation and Upgrades: Lead or participate in the implementation of new systems or features, support system upgrades, and ensure compliance with industry standards (e.g., ICD-10)., • Collaboration and Communication: Liaise between the IT department, billing office, finance, and other stakeholders to tailor systems to meet organizational needs., • Testing and Documentation: Design, build, test, and document system changes and workflows., • Reporting and Data Analysis: Develop and generate reports to extract and analyze healthcare data., • Training: Collaborate with trainers on application changes and new features to develop training materials and strategies., • System Configuration and Optimization: Configure and maintain Epic's Resolute Professional Billing or Hospital Billing module to manage charges, benefit engines, claims, and payment processors., • Workflow Analysis and Improvement: Analyze workflows, data collection, and report details to identify areas for improvement and implement application solutions., • Support and Troubleshooting: Act as a primary support contact for end-users, resolving application issues and providing technical assistance., • Implementation and Upgrades: Lead or participate in the implementation of new systems or features, support system upgrades, and ensure compliance with industry standards (e.g., ICD-10)., • Collaboration and Communication: Liaise between the IT department, billing office, finance, and other stakeholders to tailor systems to meet organizational needs., • Testing and Documentation: Design, build, test, and document system changes and workflows., • Reporting and Data Analysis: Develop and generate reports to extract and analyze healthcare data., • Training: Collaborate with trainers on application changes and new features to develop training materials and strategies., • On-Call Support: Participate in on-call rotations to provide support for a 24/7 production environment.

Job Description We are looking for an Epic Physician Billing Analyst to join our Team! This is for a Garden City location. An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization . This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Responsibilities: • System Configuration and Maintenance:, • Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization., • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies., • Perform ongoing maintenance and updates to Epic applications., • Build and test system changes, presenting them to end-users and migrating them to production., • Workflow Analysis and Optimization:, • Analyze existing financial workflows and identify opportunities for improvement and optimization., • Design and implement leading practice workflows to enhance efficiency and effectiveness., • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations., • Support and Troubleshooting:, • Act as the primary support contact for Epic Professional Billing application end-users., • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors., • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement., • Provide on-call support on a rotating basis., • Training and Education:, • Participate in training and educate end-users on the Epic Professional Billing application and related workflows., • Develop and document internal procedures for using Epic and other applications., • Compliance and Updates:, • Stay current with Epic technologies, obtain and maintain necessary Epic certifications., • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems., • Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action. Education & Requirements: • Education and Certification:, • Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field., • Certified in Epic Professional Billing., • Technical Skills:, • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates., • Experience with system configuration and troubleshooting tools., • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint)., • Healthcare Industry Knowledge:, • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures., • Familiarity with the differences between professional billing and hospital billing., • Knowledge of medical coding systems like CPT and ICD-10.

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