Company: Mount Sinai Medical Center
Posted on: November 19, 2022
Review Medical charts and documentation within but not limited
to the facility EMR, Epic, to ensure that all Physician charges are
captured in a timely and complaint manner. Work with the Faculty
Practice Group Compliance Manager and Administrator to ensue all
FPG revenue is captured. Duties and Responsibilities
- Maintains a working knowledge of CPT and ICD-9/10CM coding
principles, governmental regulations, protocols and third party
requirements regarding coding and billing documentation.
- Review and code patient encounters in EPIC with appropriate
CPT, ICD-9CM, ICD-10CM and HCPCS codes for a multi-specialty group
practice. Services include inpatient, outpatient, Emergency, and
ambulatory surgery for both E & M encounters and procedures.
- Utilizes the Correct Coding Initiative (CCI) edits for accurate
assigning of code and make use of the Local Coverage Determinations
for medical necessity.
- Identify any areas for improvement in documentation as related
to compliance and billing. Query and/or meet with physicians
regarding documentation and deficiencies.
- Review edits, denials and requests for additional information
from the accounts receivable team to ensure the time processing of
claims and all revenue is captured.
- Maintains daily logs of coded work.
- Assures that operative reports and other third party regulatory
information are pertinent to coding requirements.
- Works with management and the billing vendor daily, on edit
list and/or requests for additional information as to reduce
denials and accounts receivable.
- Attends various classes, seminars or trainings to keeping
current with CPC certification.
- Reviews, modifies and recommends changes to policies and
procedures to improve coding.
- Performs other related duties as assigned. -Requires a level of
understanding that is obtained or acquired through the completion
of a High School Diploma. -Knowledge of Medical Terminology,
ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by
completion of a certificate course with CPC/CCS-P credentials. -At
least 6 months of coding experience preferred. -Ability to use
computer. Average dexterity and knowledge of software applications
such as Microsoft, Excel, etc. -Ability to work independently with
minimal supervision at a high level of productivity. -Ability to
examine scanned documents, such as operative reports to determine
accuracy of coding. -Ability to prioritize own work and proceed
with minimum supervision. -Ability to maintain strictest
confidentiality according to HIPAA regulations. -Ability to work
effectively with others as well as physicians. -Be able to perform
effectively with various commercial and hospital computer
applications. The Mount Sinai Health System (MSHS) provides equal
employment opportunity to all its employees and applicants for
employment without unlawful discrimination on the basis of their
actual or perceived race, creed, color, religion, national origin,
sex, gender, gender expression, gender identity, age, disability,
marital or parental status, sexual orientation, veteran,
immigration, citizenship, or other protected status. EOE including
Veterans and Disabled
Keywords: Mount Sinai Medical Center, Elmhurst , Billing Specialist-MSH/SSVS/ELM, Accounting, Auditing , Elmhurst, Illinois
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