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Northwell Health · 2 days ago

Senior Pediatric Coder (Orthopedics) - Hybrid

New Hyde Park, NY

Full-time

Hybrid

Mid, Senior Level

3+ years exp

Northwell Health is a leading healthcare provider seeking a Senior Pediatric Coder specializing in Orthopedics. The role involves conducting medical chart reviews, ensuring accurate coding and documentation for pediatric patients, and collaborating with medical staff to enhance documentation quality and compliance.

ConsultingHealth CareHealth DiagnosticsMedicalPublishing

H1B Sponsor Likely

Responsibilities

Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS)

Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and assign the most accurate and specific codes

Leverages coding resources, reference materials (e.g. online coding platforms, coding manuals, payer policies), and internal expertise to ensure accurate code selection, understand coding rules, and apply guidelines effectively

Demonstrates a comprehensive understanding of the impact of coding decisions on the revenue cycle, including reimbursement, denials, and compliance

Proactively facilitates clarification of provider clinical documentation to ensure accuracy, completeness, and integrity in the medical record, using effective communication techniques

Maintains strict adherence to all government regulations, departmental policies, and contractual agreements related to coding and billing practices

Performs comprehensive internal audits of coding practices to identify areas for improvement, reduce coding errors, and mitigate potential compliance risks

Develops and implements corrective action plans to address identified coding deficiencies

Collaborates effectively with physicians, nurses, and other healthcare providers to clarify documentation ambiguities, resolve coding discrepancies, and ensure accurate and complete medical records

Acts as a coding resource for other members of the clinical and administrative teams in real-time

Develops and delivers targeted feedback and training to providers on documentation and coding best practices, focusing on areas for improvement and compliance requirements

Creates and maintains educational materials related to coding and documentation guidelines

Actively stays abreast of changes in coding guidelines, regulations (e.g., CMS updates, payer-specific policies), and coding software updates

Proactively enhances coding skills through continuing education, professional certifications, and participation in industry conferences and webinars

Stays updated on the latest advancements in pediatric medicine and their impact on coding practices

Qualification

Pediatric codingCPEDC CertificationICD-10-CMCPTHCPCSMedical terminologyAnalytical skillsCommunication skills

Required

High School Diploma or equivalent required

3 - 5 years of technical experience, required

Minimum 1 year experience in pediatric coding and documentation at acute care facility, required

CPEDC Certification, required

Company

Northwell Health

Glassdoor3.9

Northwell Health is New York State’s largest health care provider and private employer, with 28 hospitals, about 1,000+ outpatient facilities and more than 16,000 affiliated physicians.

Founded in 1997

Manhasset, New York, USA

10001+ employees

https://feinstein.northwell.edu/

H1B Sponsorship

Northwell Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2021 (18)

2020 (13)