Coding and Billing Specialist (Anticipated Vacancy)

About the role

This position exists in the Community Mental Health Department and involves responsibility for performing specialized clerical work requiring familiarity with complex medical coding and billing procedures for outpatients.

Responsibilities

• Independently performs complex coding for outpatients, charging and reconciliation of complex accounts related to psychiatric services.
• Maintains and ensures the confidentiality of all patients, company and other relevant information under HIPAA guidelines.
• Monitors daily revenue reports and patients’ schedules to ensure payer information is complete and accurate.
• Investigates and resolves charge and billing code issues.
• Routinely reviews compliance tracking emails, coding journals and modality newsletters for updates.
• Checks and verifies patient insurances.
• Collects, posts and manages patient payments.
• Sorts and files paperwork.
• Handles patient information regarding treatment, diagnosis and related procedures to ensure proper coding.
• Follows up on insurance claims.
• Prepares billing for Medicaid, Medicare, private insurances and self-pay individuals.
• Tracks statistical reports as required.
• Utilizes an electronic medical record system.
• Operates office equipment such as computers, fax and copy machines.
• Posts charges and payments.
• Supervises and participates in billing-related activities.

Requirements

• Graduation from high school or possession of an equivalency diploma AND either:
• Graduation from a regionally accredited or NYS registered college or university with an Associate’s degree in Health Information Technology or Medical Records Technology;
• Certification in coding and billing, plus one (1) year of experience in a medical setting performing billing tasks;
• Five (5) years of coding and billing experience in a medical setting.

Distinguishing Features Of The Class

• Good knowledge of the concepts, procedures and practices of modern medical records and billing.
• Good knowledge of medical terminology.
• Good knowledge of the uses and limitations of primary and secondary medical records.
• Working knowledge of pertinent federal, state, departmental and accrediting agency legal and policy requirements and regulations relating to the maintenance and release of medical records information.
• Ability to ensure the confidentiality of all patients, company and other relevant information under HIPAA guidelines.
• Ability to work independently in a fast-paced environment.
• Ability to communicate effectively both orally and in writing.
• Ability to supervise the work of others.
• Ability to establish and maintain effective working relationships with other employees and the public.

Qualifications

• Full Performance Knowledge:
• Good knowledge of the concepts, procedures and practices of modern medical records and billing.
• Good knowledge of medical terminology.
• Good knowledge of the uses and limitations of primary and secondary medical records.
• Working knowledge of pertinent federal, state, departmental and accrediting agency legal and policy requirements and regulations relating to the maintenance and release of medical records information.
• Ability to ensure the confidentiality of all patients, company and other relevant information under HIPAA guidelines.
• Ability to work independently in a fast-paced environment.
• Ability to communicate effectively both orally and in writing.
• Ability to supervise the work of others.
• Ability to establish and maintain effective working relationships with other employees and the public.

Skills

• Good knowledge of the concepts, procedures and practices of modern medical records and billing.
• Good knowledge of medical terminology.
• Good knowledge of the uses and limitations of primary and secondary medical records.
• Working knowledge of pertinent federal, state, departmental and accrediting agency legal and policy requirements and regulations relating to the maintenance and release of medical records information.
• Ability to ensure the confidentiality of all patients, company and other relevant information under HIPAA guidelines.
• Ability to work independently in a fast-paced environment.
• Ability to communicate effectively both orally and in writing.
• Ability to supervise the work of others.
• Ability to establish and maintain effective working relationships with other employees and the public.

Benefits

N/A

Pay

$45,006 - $48,874

Schedule

N/A

Note

Note: If your degree and/or college credit was awarded by an educational institution outside of the United States and its territories, you must provide independent verification of equivalency. You can write to this Department for a list of acceptable companies providing this service; you must pay the required evaluation fee.