Responsibilities:

Audits records to ensure proper submission of services prior to billing on pre-determined selected charges. Receives hospital information to properly bill provider services for hospital patients. Supplies correct

ICD-10-CM

diagnosis codes on all diagnoses provided. Supplies correct HCPCS code on all procedures and services performed. Supplies correct CPT code on all procedures and services performed. Contacts providers to train and update them with correct coding information. Attends seminars and in-services as required to remain current on coding issues. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Maintains all mandatory in-services. Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Quantitative analysis - Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered. Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary. Performs other related duties, which may be inclusive, but not listed in the job description.

Category Business Support Exempt/Non-Exempt Non-Exempt Location SB Administrative Services, LLC Full-Time/Part-Time Full-Time Position Requirements Qualifications:

High School Diploma Medical Coding Certificate - CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) certification is required. Excellent interpersonal skills. Two years coding experience using ICD-10-CM, CPT, HCPCs or equivalency. Experience with orthopedic coding preferred. Computer competency. Good math and effective communication skills. Knowledge of medical records and EHR required. Knowledge of Federal laws and regulations affecting coding requirements. Knowledge of principles, practices and methods of current coding. Knowledge of office practices, etc. Knowledge of billing practices. Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

Physical Demands:

Must be able to sit for long periods of time, and must have manual dexterity to work computer systems and keyboard. Shift Days Tags Office is located in Commack. Benefits, PTO, 401K, Life Insurance, Student loan reimbursement.

Position is hybrid after 3 month probation. 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