2 jobs found in Schenectady

The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6)...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent required. Associate’s degree...