Northwell Health

Job Description Performs various billing duties. Codes and reports diagnosis, investigates and resolves diagnosis coding issues, and participates in educational activities concerning coding scheme. Assists in the maintenance of client billing records and statistics and the maintenance of cost per test chargebacks; answers questions and resolved billing issues. Job Responsibility 1.Codes and reports diagnoses in accordance with established guidelines; codes requisitions from physician narratives and pathology reports; investigates and resolves diagnosis coding issues; reviews and updates diagnosis codes received from physician offices on patient's records and submits to insurance companies. 2.Acts as a liaison between guidelines and codes; participates in educational activities concerning coding scheme; researches and prepares bills for reimbursement, outpatient, physician offices, and charge backs; establishes associated accounts, outpatient, physician offices, and RRL...

Job Description Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Reports to supervisor and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation. Reviews Outcome Assessment Information...

Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time Job Description Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement. Job Responsibility Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews. Reconciles medial record documentation, coding, claims, and reimbursement data. Ensures appropriate billing and reimbursement. Collaborates with practice revenue managers to ensure correlation of information on superbills with rendered clinical services. Reviews codes diagnoses and surgical procedures in accordance with established coding and abstracting guidelines as a part of physician...

Job Description Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility Develops and implements coding instruction classes; demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides educational in-service to the coding and medical staff. Able to communicate effectively with coders and medical staff; acts as liaison to consultants. Prepares coding guidelines; demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Maintains coding clinic up-dates. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential...

**Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time** Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Logs all discharges into the computerized Discharge Log, enters specific data elements and verifies the discharge physician for all coded records. Serves as an onsite resource for both inpatient and outpatient coding issues. Maintains an understanding of both Inpatient and Outpatient Prospective Payment Systems. Job Responsibility Assigns codes accurately to each record for diagnoses and procedures performed according to ICD-9-CM and CPT-4 coding and classification systems. (This includes assignment of modifiers on required cases). Utilizes resources needed to adhere to coding guidelines (e.g. Coding Clinic, Coding Handbook, etc.). Also uses reference materials (medical dictionary, Physicians Desk Reference, approved abbreviations) to ensure accuracy to align with...