What are the responsibilities and job description for the Certified Medical Coder II position at Mount Sinai Medical Center?
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department
CC209041 Physician Billing
Job Description Summary
Position Responsibilities
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
Degree Requirements:
Responsibilities
Core: All other tasks as assigned., Core: Assists providers and other professional staff in retrieving and compiling data for research, diagnosis, and teaching purposes., Core: Complies with current Hospital security and safety polices., Core: Maintains effective interpersonal skills with co-workers and Physicians. Promotes clear and accurate communications among the working team and with other related parties., Core: Maintains information organized and ready for easy and quick access., Core: Maintains log of activities as required for weekly and /or monthly reports (I.e. productivity and time management reports)., Core: Performs abstracting procedures within 24 hours of occurrence., Core: Performs coding and abstracting on inpatient cases by selecting and documenting ICD9-CM diagnosis and procedure codes. Assigns correct DRG., Core: Performs coding and abstracting with an accuracy rate higher than 95%., Core: Provides the primary source of data and information used in health care. Promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement., Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy., Job Specific: Knowledge of how to integrate medical coding guidelines and payor specific coding requirements., Job Specific: Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture., Job Specific: Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record., Job Specific: Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes, NCCI edits and LCDs., Job Specific: Maintains positive working relationship with Physician Practices and communicates with office staff as needed., Job Specific: Observes work hours and provides proper notice regarding absences and tardiness, informs supervisor about own whereabouts throughout each workday., Job Specific: Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable., Job Specific: Performs other related department duties which may be inclusive but not listed in job description., Job Specific: Reports daily down coding and up coding documentation issues by practice and by physician to department Manager. Reports any physician documentation issues to department manager., Job Specific: Responsible for being up to date and maintaining currrent status of coding credentials and completes annual continued education hours., Job Specific: Reviews and verifies office superbills and appropriate progress note and/or operative note.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department
CC209041 Physician Billing
Job Description Summary
Position Responsibilities
- Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture.
- Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.
- Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes, NCCI edits and LCDs.
- Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable.
- Knowledge of how to integrate medical coding guidelines and payor specific coding requirements.
- Reviews and verifies office superbills and appropriate progress note and/or operative note.
- Reports daily down coding and up coding documentation issues by practice and by physician to department Manager. Reports any physician documentation issues to department manager.
- Responsible for being up to date and maintaining currrent status of coding credentials and completes annual continued education hours.
- Observes work hours and provides proper notice regarding absences and tardiness, informs supervisor about own whereabouts throughout each workday.
- Performs other related department duties which may be inclusive but not listed in job description.
- Maintains positive working relationship with Physician Practices and communicates with office staff as needed.
- License/Registration/Certification
- CPC or CCS-P Certification Required
- Education
- High School graduate
- Experience
- Five plus years experience in Coding and Billing, Knowledge of ICD-10-CM and CPT
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements:
Responsibilities
Core: All other tasks as assigned., Core: Assists providers and other professional staff in retrieving and compiling data for research, diagnosis, and teaching purposes., Core: Complies with current Hospital security and safety polices., Core: Maintains effective interpersonal skills with co-workers and Physicians. Promotes clear and accurate communications among the working team and with other related parties., Core: Maintains information organized and ready for easy and quick access., Core: Maintains log of activities as required for weekly and /or monthly reports (I.e. productivity and time management reports)., Core: Performs abstracting procedures within 24 hours of occurrence., Core: Performs coding and abstracting on inpatient cases by selecting and documenting ICD9-CM diagnosis and procedure codes. Assigns correct DRG., Core: Performs coding and abstracting with an accuracy rate higher than 95%., Core: Provides the primary source of data and information used in health care. Promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement., Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy., Job Specific: Knowledge of how to integrate medical coding guidelines and payor specific coding requirements., Job Specific: Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture., Job Specific: Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record., Job Specific: Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes, NCCI edits and LCDs., Job Specific: Maintains positive working relationship with Physician Practices and communicates with office staff as needed., Job Specific: Observes work hours and provides proper notice regarding absences and tardiness, informs supervisor about own whereabouts throughout each workday., Job Specific: Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable., Job Specific: Performs other related department duties which may be inclusive but not listed in job description., Job Specific: Reports daily down coding and up coding documentation issues by practice and by physician to department Manager. Reports any physician documentation issues to department manager., Job Specific: Responsible for being up to date and maintaining currrent status of coding credentials and completes annual continued education hours., Job Specific: Reviews and verifies office superbills and appropriate progress note and/or operative note.