Certified Medical Coder Analyst
hace 15 días
Melville
We are seeking a highly skilled Certified Medical Coder Analyst to join our healthcare team. In this role, you will be responsible for accurately coding medical records, analyzing coding data, and ensuring compliance with billing and reimbursement standards. Your expertise will support efficient revenue cycle management and improve the accuracy of medical documentation. The ideal candidate will possess a thorough understanding of medical coding principles, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, and ICD (International Classification of Diseases) coding systems, along with strong analytical skills to interpret complex medical data. Pay: $60,000.00 - $80,000.00 per year Job Type: Full-Time Hours: 9:00 AM – 5:00 PM Experience: 3+ Years Required Location: Farmingdale / Melville, NY (On-site) Position Overview Essential Duties & Responsibilities Coding Analysis & Productivity • Documentation Review: They analyze provider documentation to assign accurate diagnoses, procedures, modifiers, and dates/places of service following strict guidelines., • Outpatient Coding: They code and validate outpatient service areas, including E&M and modifiers, maintaining a productivity level of 90–100 charts per day., • Inpatient & Surgical: They code Inpatient, ASU, and Surgical charts, editing or validating physician procedures with a productivity target of 65 charts per day., • Clinical Liaison: They assist physicians in assigning CPT codes that accurately represent the treatment provided and work collaboratively with all employment levels., • Regulation Mastery: They maintain full knowledge of National Correct Coding Initiative (NCCI) to resolve edits for Part B physician billing., • Policy Expertise: They stay current on all physician billing/coding guidelines, including Initial vs. Subsequent, Split Share, and Telemedicine Grids per insurance carrier. Education & Experience • Experience: A minimum of three (3) years of professional medical coding experience (Required)., • Education: High School Diploma or GED (Required); College degree (Preferred)., • CPC (Certified Professional Coder), • CCS (Certified Coding Specialist), • Technical Mastery: Full proficiency in CPT and ICD-10-CM coding systems and billing guidelines., • Software: Strong computer proficiency in MS Office (specifically Word and Excel) and knowledge of healthcare operating systems., • Communication: Excellent written and verbal communication skills., • Operational Ability: Ability to multitask and perform standardized procedures with the capacity for independent decision-making.