[Hiring] Senior Professional Coder @Albany Medical Center

Role Description

The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. This position is remote but does require onsite education to providers as needed.

• Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines.
• Ensure established productivity and quality standards are met.
• Assist Supervisor in the daily operations of coding team(s) in a Team Lead position.
• Assume supervisory tasks for the assigned coding staff in absence of Supervisor.
• Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.
• Define and submit coding/edit rules for consideration to streamline coding accuracy and efficiency.
• Participate as a workflow expert in all levels of application testing.
• Assist with the implementation, testing, troubleshooting, and maintenance of third-party vendor applications software.
• Assist in preparing, overseeing, and approving staff schedule to meet the needs of the department.
• Orient and train, provide feedback, and evaluate the staff as needed.
• Assist in establishing department goals and assure goals are achieved utilizing LEAN management skills.
• Participate in the recruitment and interview process to fill personnel vacancies.
• Perform System Manager tasks for specified applications in his/her absence.
• Assist in creating and updating policies and procedures.
• Perform timely medical record chart reviews to ensure documentation and selection of HCC diagnosis codes meet the requirements set forth by CMS.
• Conduct professional fee billing integrity reviews/audits for AMHS.
• Identify trends based on audit/review findings and formulate recommendations for follow-up education and corrective actions.
• Assist with Denials Management to determine root causes and provide feedback and training to reduce denials.
• Acts as a liaison for external audits and organizes the process.
• Attend and contribute in all PCO staff meetings, department meetings, and all other meetings assigned.
• Fulfills department requirements in terms of providing work coverage during periods of personnel illness, vacation, or education.
• Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate.
• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
• All other duties as assigned.

Qualifications

• High School Diploma/G.E.D. - required
• Two years or more prior experience in professional fee coding - required
• Knowledge of multiple coding specialties - preferred
• Working knowledge and experience with provider professional fee coding and charge processing.
• Computer experience in a Windows environment with proficiency in Microsoft Word and Excel is required.
• Excellent verbal and written communication skills (High proficiency).
• CPC, CCA, CCS, COC, RHIT, or RHIA - required
• Equivalent combination of relevant education and experience may be substituted as appropriate.

Requirements

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Occasionally
• Hazards - Rarely
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely