Mohawk Valley Health System

Mohawk Valley Health System.

  • Utica, NY


  • Long-term.

  • Full-time.

Job Details

Req Id 54601

Department CODING

Shift Days

Shift Hours Worked 12.00

FTE 1.0

Work Schedule SEMC NU 12 HR

Employee Status A1 – Full-Time

Union Non-Union

Job Summary

Under the basic guidance of business Operations Manager, evaluates Medical Record paperwork to choose and code appropriate medical diagnoses and the following services for Medical Group suppliers according to ICD-9-CM and HCPCS or CPT-4 category: Office Services – Family Practice, Internal Medicine, Pediatrics, Pediatric Pulmonology, OB/GYN Services – in client and out client.

Core Job Responsibilities

  • Per evaluation of Medical Record paperwork, carries out charge coding and medical diagnosis choice of out client Family Practice and Internal Medicine billing services to consist of workplace services, point of care screening and treatments.
  • Per evaluation of Medical Record paperwork, carries out charge coding and medical diagnosis choice of out client billing services for Pediatric and Pediatric Pulmonology services.
  • Per evaluation of Medical Record documents, carries out charge coding and medical diagnosis choice of out client billing services for OB/GYN services.
  • Per evaluation of Medical Record paperwork, carries out charge coding and medical diagnosis choice of in client or out client OB/GYN services carried out at St. Elizabeth Medical Center, St. Luke’s Hospital or Little Falls Hospital.
  • Reviews advance notes for appropriate medical diagnoses if none are shown on the incredibly expenses.
  • Applies modifiers and event codes to show ABN and medical requirement protection status.
  • Maintains efficiency with the appropriate Evaluation & Management standards.
  • Maintains efficiency with standards and application of HCPCS, CPT-4 and ICD-9-CM.
  • Maintains efficiency with Medicare and PCAP billing standards.
  • Maintains efficiency with Medicaid Managed Care standards, i.e., Fidelis, United Healthcare, Excellus.
  • Assists Site Managers or designee with evaluation of the weekly Accounts Not Selected for Billing Report.
  • Assists Site Managers or designee with fixing and making talk about charge and medical diagnosis associated concerns through the CFUM function.
  • Provides continuous instructional feedback to Site Managers and Providers concerning the quality of info, i.e., registration, legibility, and so on
  • Performs other associated responsibilities as asked for by the Business Operations Manager.

Education/Experience Requirements

Required: CCS-P or CPC; 3-12 months experience as a Professional Coder, or 2-3 years medical workplace or medical out client associated experience

Licensure/Certification Requirements

Required: Certified Coding Specialist – Professional (CCS-P) or Certified Professional Coder (CPC)

EOE AA M/F/Vet/ Disability

Qualified candidates will get factor to consider for work without regard to their age, race, religious beliefs, nationwide origin, ethnic background, age, gender (consisting of pregnancy, giving birth, et al), sexual preference, gender identity or expression, safeguarded seasoned status, or special needs.

Successful prospects may be needed to go through a background confirmation with an external supplier.

Mohawk Valley Health System.

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