Requisition Coding Compliance Analyst
Legacy Health
- New York, New York, United States
- New York, New York, United States
About
Works closely with Regulatory department to support adherence to compliance policies relating to professional coding. Provides new physician orientation related to regulatory compliance, documentation and coding guidelines.
Charge Capture:
Analyzes physician practices to identify charge opportunities and ensure all billable services are captured. Provides in-services to providers and staff on proper coding and documentation. Oversees the set-up of new CPT Codes. Updates and reviews fee tickets annually and ensures system files are updated accordingly. Identifies need for and enlists consultant services as needed.
Participation in Reimbursement Analysis of Professional Services:
Participates in reimbursement analysis to determine if denials relate to CPT or diagnostic coding. Defines criteria for payor specific reimbursement for correct payment analysis. Investigates payor response to new CPT/HCPCS codes. Analyzes and documents the patient account cycle for each physician or physician line of business for timely and accurate processing.
Provider and Staff Training:
Provides onsite initial and ongoing CPT and ICD-9 training to providers and staff. Acts as a resource to physicians for CPT and diagnostic coding questions. Performs regular audits to ensure compliance with coding and documentation guidelines. Provides feedback to physicians, both written and verbally, regarding coding and documentation accuracy.
Qualifications Education:
Associate's degree in business or healthcare, or equivalent experience, required.
Experience:
Minimum of two years healthcare experience required. CPT/ICD9 experience in a multi-specialty setting preferred. Database experience preferred.
Skills:
Strong communication skills, both verbal and written. Ability to speak in front of large and small groups. Proven ability to develop training programs, provide training and oversee work processes. Excellent organizational skills and the ability to handle large volumes of work. Demonstrated understanding of insurance reimbursement and payment methodology. Competent in Microsoft Excel and Word software.
Licensure
RHIT, RHIA, CCS, CCS-P or CPC certification required.
Pay Range USD $31.38 - USD $44.89 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
Languages
- English
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