Medical Coder I
$36,317–$52,666 year
On-siteSchenectady, New York, United States
Job Summary
Manage charge entry and charge reconciliation for assigned physician practices, ensuring complete and timely claim submissions. Review inpatient, surgery, and practice records to assign appropriate ICD-10-CM and CPT-4 codes using Cerner PowerChart and Soarian Financial Management Systems. Establish relationships with medical and dental staff to verify documentation supports diagnoses and E/M levels, while conducting weekly chart audits to optimize coding accuracy. Manage the Encounter Billing Exception Worklist (EBEW) and collaborate with the PBO department to address claim denials. Participate in cross-functional workgroups to improve revenue cycle activities across Ellis Medicine practices. This role supports the financial viability of assigned practices by producing accurate claims and maintaining compliance with CPT/HCPCS and ICD-9/ICD-10 guidelines.
Required Qualifications
- High School Diploma or Equivalent
- Two (2) years' or less experience in the healthcare industry
- Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations
- Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards
- Skilled experience and knowledge of Windows-based software, including but not limited to Microsoft Windows, Excel and Word
- Experience with Siemens Soarian systems and Allscripts electronic health record
Desired Qualifications
- Completed national coding education program (CPC/CCS)
- Apprenticeship status from national coding organization
- Hospital, physician practice or insurance coding and billing experience
- Experience with Siemens Soarian systems and Allscripts electronic health record
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