Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time[...]

Description Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid The Reimbursement Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care, commercial and federal contracts to assure the recovery of all inpatient and outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. Responsibilities Assures that fee schedules, Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9) codes are accurately entered in the billing system. Identifies and defines appropriate CPT codes for existing and new services. Assures that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in the billing system. Analyzes payments for high volume and high dollar procedures to assure that Medicine FPA billing is paid appropriately; analyzes payment trends to identify patterns of payment denials. Coordinates initiatives with the billing and collection area to initiate plans for resolving billing disputes. Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations. Provides ongoing in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation and signature requirements. Performs other related duties. Qualifications Associate’s degree in accounting or business related field; Bachelor’s degree preferred 4 years of insurance billing and collection procedures in a health care environment Excellent written, verbal and interpersonal skills Demonstrated knowledge of insurance billing and collection procedures and CPT and ICD-9 coding Preferred Experience 3 plus years of multispecialty coding experience in AmSurg and/or clinic settings preferred Proficient in Epic Billing and have thorough working knowledge of ICD-10 diagnosis coding guidelines, CPT/HCPCS code assignments preferred Knowledge of the Outpatient Prospective Payment System (OPPS) preferred Ability to concentrate and accomplish tasks with explicit accuracy and established/maintained effective working relationships as required by the duties of the position preferred Functional knowledge of facility EMR, encoder, and other support software preferred Detailed knowledge and understanding of hospital vs. professional charging and coding preferred AHIMA (CCS) or AAPC (CPC) approved credential preferred Employer Description The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area. We are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow, with collaboration, fairness, and continuous learning driving positive change to improve patient care and workplace experiences. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. Compensation The Mount Sinai Health System provides salary ranges that comply with New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58,661 - $81,675 annually. Actual salaries depend on experience, education, and operational need. The listed salary range does not include bonuses, incentives, differential pay, or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai Medical Center of Florida