Medical Coder

Job Title: Medical Coder 

Reports to: Revenue Cycle Manager 

FLSA Status: Non-Exempt 

Summary: CNY Fertility is a renowned fertility center offering advanced treatments like IVF, IUI, and egg freezing. With a patient-centered approach and cutting-edge technology, we support individuals and couples on their journey to parenthood. We are seeking a skilled and detail-oriented Medical Billing Coder to join our team. The successful candidate will be responsible for accurately assigning appropriate medical codes to diagnoses and procedures for reimbursement purposes. The Medical Billing Coder will work closely with healthcare providers, billing specialists, and insurance companies to ensure timely and accurate billing processes. 

Required Duties and Responsibilities: Include the following. Other duties may be assigned.  

• Assign appropriate medical codes to diagnoses and procedures according to coding guidelines and regulations (ICD-10, CPT, HCPCS). 
• Review medical records and documentation to ensure accurate code assignment. 
• Communicate with healthcare providers to clarify documentation and coding discrepancies. 
• Collaborate with billing specialists to submit clean claims and resolve coding-related denials. 
• Stay up-to-date on changes in coding guidelines, regulations, and payer policies. 
• Participate in coding audits and compliance reviews as needed. 
• Maintain confidentiality of patient information and comply with HIPAA regulations. 
• Provide coding expertise and support to other members of the billing team. 

Qualifications: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Education/Experience: 

Minimum of 5 years of experience in medical coding and billing.  Proficiency in ICD-10, CPT, and HCPCS coding systems. 

Language Ability: 

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. 

Math Ability: 

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. 

Reasoning Ability:  

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. 

Knowledge, Skills and Other Abilities:  

• Strong understanding of medical terminology, anatomy, and physiology. 
• Excellent attention to detail and accuracy in coding assignments. 
• Ability to work independently and prioritize tasks in a fast-paced environment. 
• Effective communication and interpersonal skills. 
• Proficiency in using coding software and electronic health records (EHR) systems. 
• Commitment to maintaining coding accuracy and compliance with regulatory requirements. 

Certificates and Licenses:  

• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required. 

Work Environment: 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is regularly required to stand; walk; use hands; reach with hands and arms and talk or hear. The employee is occasionally required to sit. 

Benefits include: 

· 401(k) 

· Dental insurance 

· Vision Insurance 

· Health Insurance 

· Life Insurance 

· Flexible spending account 

· Paid time off 

· Maternity Leave