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Job Title: Professional Fee Coding Specialist
The Professional Fee Coding Specialist reviews clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 CM and CPT – 4 codes for billing, internal and external reporting, research and regulatory compliance. This individual accurately codes outpatient (i.e., diagnostic, therapeutic, ambulatory surgery and observation service encounters), conditions and procedures as documented in ICD-10-CM Official Guidelines for Coding and Reporting. Provides information and direction relevant to coding to physicians. A participant in ICD -10 implementation, document review and staff training; reports to the Director of Ambulatory Operations and the Senior Director, Hospital-Based Practices.
- Responsible and accountable for the nursing care of the patients in his/her clinic
- Functions in accordance with the Nurse Practice Act, the current Federal and State regulations governing the use and the dispensing of methadone and the guidelines for patient care set by the Program’s Administration
- Works collaboratively with all members of the clinic staff to facilitate the best possible patient care
- Demonstrates the ability to safely administer any medication allowed by New York State law and in accordance with BIMC/MMTP policies and procedures
- Demonstrates knowledge of actions, dosage and side effects of medications, including methadone, as used in narcotic addiction treatment
- Associates degree (higher level of education is preferred), or equivalent combination of education and relevant coding work experience.
- 3 years minimum (5 years preferred) of outpatient coding experience.
- Proficiency in the use of computer-assisted coding software; 3M knowledge is desirable.
- Ability to create and utilize the coding
audit tools required to include the facilitation of coding deficiency
resolution with physicians, managers and staff.
The Mount Sinai Health System believes that diversity 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 medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make 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 hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel 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 comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.