RWJBarnabas Health – Coder (PT) – UPA-DCMC Anesthesiology – Newark, NJ/Hybrid – Newark, NJ

Remote Full-time
Job title: Coder (PT) - UPA-DCMC Anesthesiology - Newark, NJ/Hybrid Company: RWJBarnabas Health Job description: Job Summary: Exercise high degree of diligence, skill and judgment in reviewing and interpreting all available information to establish abstract data, as well as ICD-10-CM, CPT and HCPCS codes for patient medical records. Codes medical records for the purpose of reimbursement, research and compliance with regulatory agencies by assigning ICD-10-CM, CPT and HCPCS codes. Assists Coding Compliance Manager. Is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors. Essential Functions: • Abstracts all patient information. • Fills in for other billings employees if needed. • Initiates proactive measures to decrease denials prior to their occurrence. • Verifies and requests clarification of any additional information from physicians. • Coordinates all activities and follow-up functions that pertain to researching and resolving patient account claims. • Provides instructional and education to staff on accurate charge entry and medical record documentation. Acts as educational resource person for physicians and office staff regarding charge reconciliation and collections. • Maintains the coding process within the bill hold days. Needs to be able to respond to coding questions when necessary. • Member of audit team Performs internal quality audits. Audits practice sites and reports to physicians on findings. Documents audit results to compliance. • Codes accurately and within a specified time frame. Ensure the proper use of ICD-10-CM, CPT and HCPCS codes, NCCI, and documentation guidelines. Job Requirements: • High School Diploma or GED required within one (1) year of hire. Candidates who do not possess a High School Diploma or GED equivalent at time of hire will be provided the opportunity to enroll in a GED/HSEA program as a condition of employment. New hires will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA. * • Relevant experience and/or training, or equivalent combination of education and experience • Knowledge of anatomy, physiology, medical terminology and medical record documentation. • 3 to 5 years’ experience in coding, reimbursement, and compliance required. • Knowledge of ICD-10-CM, CPT and HCPCS codes, NCCI, CMS compliance, coding and reimbursement policies. • Knowledge of Insurance Billing, OIG Work Plan and HIPAA. • Certified Professional Coder (CPC) certificate required. • Must maintain required CEU’s. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Additional Info: RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals – Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children’s hospitals and a leading pediatric rehabilitation hospital (Children’s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state’s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. RWJBarnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. RWJBarnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. Expected salary: Location: Newark, NJ Apply for the job now! Apply tot his job
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