Description

Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York’s Best Places to Work, is looking for a full time Coding Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Syracuse and Auburn. If you are a highly motivated, team oriented individual looking to make a difference in your career, please apply now.

CODING SPECIALIST

The Coding Specialist will be knowledgeable in and perform all aspects of CPC coder with little assistance from others. Resolves questions in a timely manner; Handles all billing and patient inquiries in a professional and courteous manner.

Researches all information needed to complete billing process, including adding modifier 25, reviewing and correcting as necessary the order of Dx codes, reviewing and correcting Incident To, and supervising physician for accuracy.

Focuses on patient chart audits (each practitioner to be audited a minimum of 2 times per year) as well as provider education based on individual audits as well as practitioner trends on a monthly/quarterly basis. Education can be individual or in group setting.

Maintains a professional relationship with the advanced practice and physicians to assist in coding questions to be answered in a timely manner.

Proficiency in adjudicating claims for accurate medical coding for surgical procedures, and hospital services performed by physicians and recognized licensed non-physician providers. Knowledge of anatomy, physiology, and medical terminology commensurate with ability to correctly code provider surgical and hospital services and all diagnoses

Reviews along with billing team ICD-10 codes applicable to services rendered for all service lines. All Evaluation and Management codes with incorrect diagnosis will need to be rebilled as well as assisting in insuring all codes selected are reimbursable relative to diagnoses.

Maintain and distribute applicable annual updates to ICD-10 diagnosis codes, CPT codes, and HCPCS codes.

Maintain and inform Manager of Business Operations of coding changes with major commercial and government insurance carriers. Sound knowledge of medical coding rules and regulations along with keeping current on issues regarding medical coding, compliance, and reimbursement. Assist team with issues such as medical necessity, claims denials, bundling issues, and charge capture which are in area of expertise.

Train as needed to support functions of the department, including review duties.

Handles correspondence accordingly and in a timely fashion with regards to patients or insurance carriers. Responds to those requests in writing when necessary.

Participates in group discussions, conferences, seminars, and meetings when required.

Reviews samples of coded services on a daily basis to ensure proper coding and documentation.

a) Oversees coding reviews with physicians to ensure proper documentation of supporting services billed

b) Distributes coding information to appropriate personnel.

c) Reviews proper coding of questionable or new items with those involved.

Competitive Salary-rate is based on experience Generous benefits package including medical, dental, life, std, ltd, 401k/pension, tuition reimbursement, holidays, advanced PTO etc.

Hematology Oncology Associates of CNY is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. HOA is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Requirements

Knowledge, Skills and Abilities:

Knowledge of medical insurance industry, laws and regulations and operating procedures is desired. Proficiency in filing and collecting insurance claims is desired. An extensive knowledge of ICD-10 and CPT coding, and medical terminology is required. Skill required in identifying/investigating problems, arriving at a solution and correcting errors. Skill also required in computer applications. Ability of maintain effective working relationship with patients, staff and public.

Education: High School Diploma

Experience: Minimum of two years performing the duties of a CPC in a physician or hospital setting.

Certificate/License: Current CPC preferred