Reporting to the Director Revenue Cycle and Billing & Coding Manager, the Coding Coordinator provides coding and revenue cycle support to the Department of Emergency Medicine.
The Coding Coordinator is responsible for the review and resolution of all coding related pre-billing edits and/or rejections to ensure prompt and accurate reimbursement. Individual will initiate medical record reviews and recommend proper action, communicate with providers and billing staff regarding missing or unclear documentation, and will analyze and report trends to Billing & Coding Manager.
Reviews and resolves all assigned tasks and encounters associated with potential coding discrepancies as it relates to prebilling system edits and/or claims with outstanding balances.
Reviews and resolves any pre & post billing coding edits (TES) and resubmits claim for adjudication.
Ensures all services documented in patient charts are coded with appropriate diagnoses, CPT & HCPCS procedure codes.
Aims to reduce accounts receivable by reviewing claims rejected for coding; investigates assigned accounts to determine what additional steps must be taken for claims to be resolved.
Conducts one-on-one or small group education to physicians regarding the results of their periodic audits while maintaining an exceptionally high level of professionalism.
Assists providers in developing effective Letters of Medical Necessity (LMN) and/or templates for appealing denials associated to complex procedures based on payer requirements and medical documentation.
Maintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 Form requirements, diagnosis and CPT/HCPCS coding, and applicable county, state, and federal requirements.
Researches and responds to insurance coding requests; assist with claim issues, including preparing coding appeals.
Proactively elevates coding problems to the providers and maintains tracking reports when issues and trends have been identified.
Answers and triages patient correspondence received via telephone, emails and fax. Responds to inquiries and directs callers
Performs related duties and responsibilities as assigned/requested
One weekend shift is required every four weeks.
Requires a bachelor's degree or equivalent in education and experience, plus three years of related experience.
Current Coding Certificate is required (ex: CPC, CPC-H, CCS, CCSP, ROCC etc).
Working knowledge of electronic medical records and billing systems including Allscripts, EPIC, IDX
Must demonstrate strong verbal and written communication skills; have ability to exercise excellent judgment and diplomacy in all interactions.
Must possess excellent organizational skills, and use sound judgment in prioritizing work and possess a professional sense of accountability.
Must demonstrate proven ability to interact with all levels of faculty and staff.
Must successfully complete systems training requirements.
Must stay abreast with medical terminology, as well as a knowledge of current codes and coding regulations.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
Internal Number: 503329
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.