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Professional Coding Specialist II
- New York, New York, United States
- New York, New York, United States
Über
Essential Job Duties Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.
Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment. Advanced expertise in ICD-10-CM, CPT®, HCPCS, and modifiers; strong E/M coding proficiency and payer policy interpretation. Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable. Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules as relevant to pro fee claims. Provide real-time guidance to peers on standard coding scenarios; promote consistency through best-practice sharing. Participate in internal quality review programs and implement education/corrective actions based on findings. Proficiency in Epic professional coding work queues and encoder tools; ability to efficiently review documentation in the EHR across settings. Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations. General Job Duties
Performs other duties as assigned
Education: High School diploma or GED required. Experience: At least 3 years of experience physician/provider coding required. Certification/License/Registration: CPC or CCS-P required #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.
Sprachkenntnisse
- English
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