Billing Coordinator​/Coder Ambulatory - Physician Practice

Billing Coordinator / Coder Ambulatory - Physician Practice

Employer:

JFK Johnson Rehabilitation Institute

Location:

Glen Ridge, New Jersey

The Billing Coordinator / Coder is responsible for coordinating the day‑to‑day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position prepares and abstracts billing data following ICD-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines, and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health network.

The coordinator performs data entry of abstracted patient information into the electronic medical record system and queries physicians when appropriate.

• Coordinates pertinent information of a patient’s medical record for submission to the physician billing service.
• Verifies patient’s insurance and acts as a liaison with patients regarding charges, answers billing inquiries, and assists with outstanding bills.
• Ensures proper receipt of authorization/referral and completion of all required forms.
• Analyzes medical records and identifies documentation deficiencies.
• Daily monitoring of all WQ's for coding and billing corrections.
• Assigns codes to clinical services performed for use in reimbursement and data collection.
• Assigns CPT, HCPCS and ICD-10-CM codes.
• Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation for proper coding is missing or incomplete.
• Applies National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local Coverage Determinations (LCD) edits.
• Maintains required productivity and quality standards.
• Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.
• Other duties and/or projects as assigned.

• High School diploma, GED, or equivalent.
• Minimum of 1 year of coding for professional services.
• Strong understanding of physiology, medical terms, and anatomy.
• Proficient computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office and Google Suite platforms.
• Ability to achieve and maintain appropriate coding quality and productivity as established by HMH compliance.

• Prior working experience with outpatient hospital ICD-10 diagnosis, CPT procedural, and E&M coding.
• Certified Coding Specialist or Certified Outpatient Coder certification.
• Approved AHIMA or AAPC coding credential.

Minimum hourly rate: $26.71. The posted rate is a good faith estimate and may differ based on market data, experience, education, credentials, and other non‑discriminatory factors. HMH offers health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, disability, marital status, privilege as a veteran, or any other protected class.