Billing Specialist

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles & Responsibilities:
  • Responsible for office, out-patient, and inpatient physician coding.  Provides education regarding documentation requirements for improved quality of coding and to ensure accurate and complete capture of revenue. 


    Duties and Responsibilities                                                                                       ____________

    1.      Responsible for performing specialty coding for services and medical office visits.


    2.      Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation.


    3.      Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.


    4.      Ensures that documentation supports charges to prevent denials/underpayments.


    5.      Follows-up on missing charge tickets and clinical documentation as appropriate


    6.      Assist with implementation of documentation and revenue enhancement opportunities.


    7.      Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications.


    8.      Reviews and distributes coding related information to clinical staff, including CPT and ICD-9 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.


    9.      In conjunction with Sr. Billing Analyst, identify relevant charge master or fee updates.


    10.  Responsible for resolving any coding related errors and denials that are identified by Hospital or Practice billing system as part of the revenue enhancement initiatives.


    11.  Consults and provides feedback with frontline clinical staff and financial coordinators to identify reimbursable indications for treatment.


    12.  Assists on reviews of revenue cycle with management and supervisor.


    13.  Participates in education programs to maintain up to date coding skills.


    14.  Participates with the Compliance Department in random chart audits to ensure appropriate documentation, coding and billing.



    Education Requirements                                                                                                                  

    Associates degree or HS Diploma/GED plus two years of related experience.


    Experience Requirements                                                                            __________________

    Two years of experience in medical practice or outpatient coding.

    Medical practice business office or patient accounts experience a plus.

Strength Through Diversity

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 lifestyle. 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! 

Who We Are

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. 

EOE Minorities/Women/Disabled/Veterans


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