Ground breaking science. Advancing medicine. Healing made personal.
Under the direction of the Director code, evaluate physician documentation and provide feedback of findings to physicians and ancillary staff. This information will assist the Director in enhancing physician education in order to target areas of process improvement as it pertains to coding, reimbursement, billing, and charge capture. Ensure that the department is in compliance with federal, state, and local laws and regulations with respect to coding and billing.
1. Code (ICD-9, CPT-4, Modifiers) multi-specialty physician documentation prior to claim submission. Areas of focus Medicine Inpatient and Inpatient and Outpatient Surgical Procedures. These could vary.
2. Perform both prospective and retrospective audits as assigned. Analyze medical record documentation for appropriateness of services and service levels billed. Identify areas of lost revenue and recommend better documentation/coding practices.
3. Ensure timely submission of all Multi-specialty charges to McKesson. Contact Departments and inform Director of delinquent areas or providers affecting charge capture targets.
4. Maintain files/statistics of findings per department and physician for review with Director on a monthly basis.
5. Analyze coding denials and identify trends and resolutions.
CPC Certification from the AAPC or AHIMA in good standing.
Four years minimum coding experience in a Multi-Specialty Faculty Practice, or equivalent preferred.
Two years surgical multi-specialty coding experience required.
Knowledge of physician billing and claims processing highly preferred.
Excellent verbal and written communication skills required.
Proficient in Excel, Micro Soft Word and Power Point.
The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and life style. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.