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- Req #:
- 254975
- Job Location(s):
- Brooklyn, NY
- Zip Code:
- 11220
- Category:
- Medical Billing and Coding
- Agency:
- Medical Associates, P.C.
- Status:
- Regular Full-Time
- Office:
- Office-based
Rooted in Jewish values and traditions, and consistent with the highest standards of quality care, MJHS Health System is a premier provider of health services in the greater metropolitan area and beyond, ensuring access to health, supportive and community-based services across the continuum of need. Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home.
Why work for MJHS?:
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
Benefits include:
- Tuition Reimbursement for all full and part-time staff
- Generous paid time off
- Affordable medical, dental and vision coverage for employee and family members
- Two retirement plans! 403(b) AND Employer Paid Pension
- Flexible spending
- And MORE!
Responsibilities:
- Supports medical professional corporation procedural and diagnostic coding of medical records for billing
- Works with professional and non-professional staff for timely record review and ensuring accuracy of medical documentation and sequencing ensuring that codes meet required legal and insurance rules
- Works with internal and external billing staff to ensure timely and complete billing of claims and encounters
- Collaborates and corresponds with insurance companies and health care professionals to resolve claim denials
- Maintains medical records both electronically and hard copies, maintains productivity and chart metrics
- Collaborates with management staff for process improvement, project work
- Performs compliance audits regarding billing, procedural and diagnostic coding to ensure documentation is accurate and timely
- Submits statistical data for analysis and research by other departments. Able to handle multiple priorities
Qualifications:
- Associates degree required. Bachelor's degree preferred
- Certified as professional coder (CPC or CSS-P)
- Requires at least 1 year of medical record coding and record review experience required
- ICD-10 certified, knowledge and experience in CPT codes required
- Proficiency with electronic medical records (EMR) or electronic health record (EHR) required
- Certified Risk Adjustment Coder (CRC) preferred
- Experience working with managed care health organization and outpatient medical practice preferred
- Ability to work independently and collaboratively within a team environment to ensure that changes and encounters are posted accurately and timely
- Able to multi-task and meet deadlines
- Excellent problem-solving skills
- Must have excellent interpersonal and communication skills including written, oral and active listening skills
- Intermediate Excel, MS Word, Access data entry and report generation
- Must have excellent written and oral communication skills, active listening skills
- Medical terminology and coding both ICD-9 and ICD-10, CPT required
- Required coding certification (CCS-P or CPC through AHIMA/AAPC)
- Experience in internal and external audits required
- Knowledge of billing cycle required