Sr. Medical Coding Analyst 9/1/2016
JOB DESCRIPTIONAPPLY Reporting to the Director of Coding, the Sr. Medical Coding Analyst in the Lewis Katz School of Medicine's Administration department is responsible for reviewing, verifying, auditing, abstracting Surgical Operative reports and the assignment of the appropriate and applicable billings codes. The incumbent is responsible for understanding and following nationally accepted coding guidelines. Additionally, serving as a coding resource person, the incumbent will function as a coder for all physicians, administrators, and physician practice staff. The Sr. Medical Coding Analyst is also responsible for researching, formulating, and communicating recommendations to all levels of staff; assisting senior management in identifying and analyzing options for efficiency in revenue optimization; assisting with internal audits as it relates to duties and functions performed; reviewing and interpreting physician and physician staff documentation; consulting and advising with medical providers to clarify missing or inadequate record information to determine appropriate diagnostic and procedures codes; assignment of appropriate, timely and accurate billing codes (CPT, ICD-9, ICD-10, and HCPC) to physician documentation; informing physicians and staff on codes changes as mandated nationally; and maintaining up to date knowledge of regulations through publications and professional journals. Perform other duties as assigned.
Required Education and Experience:
National certification in Medical Coding (i.e. CPC, CCS, CPC-H) and at least three years' experience in a medical practice. An equivalent combination of education and experience may be considered.
Required Skills and Abilities:
*Demonstrated aptitude to understand and following nationally accepted coding guidelines.
*Demonstrated knowledge of medical billing and collection activity.
*Demonstrated understanding of GE/IDX automated billing system and third party reimbursement of professional services.
*Strong interpersonal and communication skills.
*Demonstrated proficiency in Microsoft Office.
*Demonstrated knowledge of anatomy/physiology and medical terminology.
Compliance Statement: In the performance of their functions as detailed in the position description employees have an obligation to avoid ethical, legal, financial and other conflicts of interest to ensure that their actions and outside activities do not conflict with their primary employment responsibilities at the institution. Employees are also expected to understand and be in compliance with applicable laws, University and. employment policies and regulations, including NCAA regulations for areas and departments which their essential functions cause them to interact.
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