Professional Coder jobs in United States
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Albany Medical Center · 7 hours ago

Professional Coder

Albany Medical Center is a healthcare provider seeking a Professional Coder to review, analyze, and validate diagnosis codes and charges. The role involves ensuring compliance with regulations and performing accurate coding of CPT and ICD-10 diagnosis codes.

Hospital & Health Care

Responsibilities

Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines
Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes
Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role
Ensure established productivity and quality standards are met
Review denials, research and respond appropriately and timely
Perform audits as determined by management
Assist with all levels of application testing for identified coding workflows as needed
Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned
Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate
Ability to work well with people from different disciplines with varying degrees of business and technical expertise
Remain knowledgeable of all insurance products (including Managed care, Medicaid and Medicare), policies and procedures as well as State and Federal mandates and legislation in relation to coding and documentation
Interact with providers and their staff to support accuracy and specificity in documentation and procedural and diagnostic coding
All other duties as assigned

Qualification

CPT codingICD-10 codingCoding credentialCharge processingMicrosoft WordMicrosoft ExcelVerbal communicationWritten communication

Required

High School Diploma/G.E.D
CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC and be in good standing
Computer experience, windows environment with proficiency in Microsoft Word and Excel is required
Excellent verbal and written communication skills

Preferred

1-3 years Experience in provider professional fee coding
Working knowledge and experience with provider professional fee coding and charge processing

Company

Albany Medical Center

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Albany Medical Center is one of the Capital Region’s largest private employers with more than 9,000 employees.

Funding

Current Stage
Late Stage

Leadership Team

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Suryakant Kale
Chief Technology Officer/Vice President Information services, Technology & Infrastructure
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Frances Albert
Chief Financial Officer
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