Mount Sinai Health System
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Billing Specialist-MSH-78319-028
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Mount Sinai Health System Overview
Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a timely and compliant manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensure all FPG revenue is captured. Responsibilities
Maintains a working knowledge of CPT and ICD-9/10CM coding principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM, ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient, outpatient, Emergency, and ambulatory surgery for both E & M encounters and procedures. Utilizes the Correct Coding Initiative (CCI) edits for accurate assigning of codes and makes use of Local Coverage Determinations for medical necessity. Identify any areas for improvement in documentation as related to compliance and billing. Query and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team to ensure timely processing of claims and that all revenue is captured. Maintain daily logs of coded work. Ensure operative reports and other third party regulatory information are pertinent to coding requirements. Collaborate with management and the billing vendor daily on edit lists and/or requests for additional information to reduce denials and accounts receivable. Attend various classes, seminars or trainings to stay current with CPC certification. Review, modify and recommend changes to policies and procedures to improve coding. Performs other related duties as assigned. Qualifications
High School Diploma or equivalent required. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT; certification obtained by completion of a certificate course with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder (CPC) / AAPC certification. Ability to use computer; comfortable with software applications such as Microsoft Office. Ability to work independently with minimal supervision at a high level of productivity. Ability to examine scanned documents, such as operative reports, to determine accuracy of coding. Ability to prioritize own work and proceed with minimal supervision. Maintain strict confidentiality according to HIPAA regulations. Ability to work effectively with others as well as physicians. Proficiency with various commercial and hospital computer applications. Employer Description
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. Our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Explore this opportunity and be part of the next chapter in our history. Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Compensation
The salary range for the role is $20 - $30.68 per hour. Actual salaries depend on experience, education, and operational need. This range does not include bonuses/incentives or other forms of compensation or benefits.
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Billing Specialist-MSH-78319-028
role at
Mount Sinai Health System Overview
Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a timely and compliant manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensure all FPG revenue is captured. Responsibilities
Maintains a working knowledge of CPT and ICD-9/10CM coding principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM, ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient, outpatient, Emergency, and ambulatory surgery for both E & M encounters and procedures. Utilizes the Correct Coding Initiative (CCI) edits for accurate assigning of codes and makes use of Local Coverage Determinations for medical necessity. Identify any areas for improvement in documentation as related to compliance and billing. Query and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team to ensure timely processing of claims and that all revenue is captured. Maintain daily logs of coded work. Ensure operative reports and other third party regulatory information are pertinent to coding requirements. Collaborate with management and the billing vendor daily on edit lists and/or requests for additional information to reduce denials and accounts receivable. Attend various classes, seminars or trainings to stay current with CPC certification. Review, modify and recommend changes to policies and procedures to improve coding. Performs other related duties as assigned. Qualifications
High School Diploma or equivalent required. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT; certification obtained by completion of a certificate course with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder (CPC) / AAPC certification. Ability to use computer; comfortable with software applications such as Microsoft Office. Ability to work independently with minimal supervision at a high level of productivity. Ability to examine scanned documents, such as operative reports, to determine accuracy of coding. Ability to prioritize own work and proceed with minimal supervision. Maintain strict confidentiality according to HIPAA regulations. Ability to work effectively with others as well as physicians. Proficiency with various commercial and hospital computer applications. Employer Description
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. Our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Explore this opportunity and be part of the next chapter in our history. Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Compensation
The salary range for the role is $20 - $30.68 per hour. Actual salaries depend on experience, education, and operational need. This range does not include bonuses/incentives or other forms of compensation or benefits.
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