Facility Biller/Coder - Intermediate

Description

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations.

Summary:

Independently performs accurate and timely billing, coding, and reconciliation functions for two distinct outpatient divisions to include one interventional service. Uses ICD-10 and CPT-4 books and online references to appropriately identify codes and billing modifiers

Responsibilities:

1. Translates narrative information from billing encounter forms and orders into ICD-10 and CPT-4 codes and medical supply charges. Independently charges and codes for two distinct outpatient divisions. One responsibility area may be diagnostic, evaluation and management, or a specialty area. Another responsibility area must be common interventional radiology or cardiology procedures. 
2. Independently uses electronic medical records and multiple systems to identify diagnosis codes, procedure codes, and medical supply charges for high-volume services. Identifies and resolves discrepancies previously generated by referencing medical record. 
3. Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%. 
4. Research and resolves charging and medical necessity edits. 
5. Independently reconciles charges for areas of responsibility. Uses sound judgement and knowledge of common department and hospital reference materials and Medicare guidelines. Researches and resolves discrepancy so charges keyed reflects services delivered. 
6. Attends and participates in required hospital education programs to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines, and regulations. 
7. May provide back-up billing and coding to additional areas with similar scope. 
8. Provides technical guidance to people who are in Facility Biller/Coder Beginner positions. 
9. Uses appropriate, accurate communication techniques when addressing billing barriers. 
10. Exhibits strong competency in use of all computer systems and applications that are commonly used for position. 
11. Achieves the organization’s established expectations regarding customer service, teamwork, and safety. 
12. Fulfills all compliance responsibilities related to the position. 
13. Performs other duties as assigned. 

Required: 

• Data entry, MS Word, MS Excel skills. 
• Experience in charge capture process or medical record review. 
• Excellent verbal and written communication and analytical skills. 
• Documented proficiency in use of ICD-10 and CPT-4 coding as required by position. 
• Knowledge of how to accurately use ICD-10 and CPT-4 books. 
• Sound knowledge of basic code structure is required. 
• Long-term employees with demonstrated proficiency may be grandfathered in without coding certification. 

Skills & Experience:

• 3 years of experience required
• Experience coding interventional cardiac catheterization lab and/or interventional radiology procedures, and diagnostic radiology tests
• Data entry, MS Word, MS Excel skills
• Experience in charge capture process or medical record review
• Excellent verbal and written communication and analytical skills
• Documented proficiency in use of ICD-10 and CPT-4 coding as required by position
• Knowledge of how to accurately use ICD-10 and CPT-4 books
• Sound knowledge of basic code structure is required
• Strong analytical skills with attention to detail and a high degree of accuracy.

Education:

• High School Diploma or equivalent required
• Desired Associate’s or bachelor’s degree in Finance, Health Administration, Public Health, Business Administration, or related discipline.

Required Certifications/Credentials:

• High School Diploma or equivalent, CPC, COC, CCS, CCS-P, or specialty coding

Location: REMOTE-NY-API

Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 10

Work Shift: Monday to Friday- 7:30am to 4pm

Org Unit: 1852

Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING

Exempt: No

Grade: S6

Salary Range: $20.2200 - $37.5500 Hourly

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.