Job description

534993

Medical Center

Neurological Surgery

Full Time

Opening on: Apr 5 2023

Grade 104

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Job Type: Officer of Administration

Bargaining Unit:
Regular/Temporary: Regular

End Date if Temporary:
Hours Per Week: 35

Salary Range: $61,500-$85,000

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Coding Specialist is responsible for the review and resolution of all coding related prebilling edits and/or rejections to ensure prompt and accurate reimbursement. This position initiates medical record review and recommends proper action. This position communicates with department clinical and billing staff regarding missing or unclear documentation. In addition to maintaining standard productivity levels, the coding specialist works closely with the Director of Coding and Billing Optimization on assigned tasks.

Responsibilities

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:

Assist surgeons and clinical teams in assigning appropriate codes based on diagnosis and planned surgical procedures.

Review medical documentation to ensure all diagnosis codes and CPT codes are appropriately captured.

Review surgeon's operative reports daily to ensure all diagnosis codes and CPT codes are billed correctly; informs authorization and billing department if codes need to be reconciled between procedures planned versus performed.

Review and follow up on denials related to coding and charge entry processes; if a claim is denied due to incorrect coding, conducts medical records research and corresponds with insurance companies and clinicians to resolve issue.

Assist in the review process of medical documentation for support in the appeal and redetermination of denied claims for medical necessity.

Conforms to all applicable HIPAA, billing compliance and safety guidelines.

Perform other duties as assigned.

Minimum Qualifications

Requires a bachelor's degree or equivalent in education and experience, plus three years of related experience.

Preferred Qualifications

Experience in providing feedback to physicians regarding how to improve clinical documentation in office and operative reports.

Experience in managing appeals with insurance companies.

Surgical sub-specialty preferred knowledge of EPIC.

Specialty in Neurosurgery.

Other Requirements

Certified Professional Coder (CPC) certification is required.

Knowledge of CPT and ICD-I0 coding.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

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