Certified Coder

Overview

Certified Coder - Stony Brook Surgical Associates, UFPC

Location:
Stony Brook, NY

Schedule:
Full Time

Days/

Hours:

Monday - Friday; 8:30 AM - 5 PM - 100% Remote

Pay: $27.91 - $34.87

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee.

The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting

SUMMARY: This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.

Job Duties &

Essential Functions:

• Provide a variety of complex and technical assignments relating to medical coding.
• Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
• Resolve discrepancies on coding related issues.
• Review and correct rejected claims from various third party carriers.
• CPMP account notification/accounts receivable report (IDX), ICD-10 coding.
• Account maintenance – IDX pending report.
• Track all IDX record requests.
• Maintain PK files for validity, coding/billing errors.
• Monitor TES Open Encounter file.
• CLIA renewals for all sites.
• Perform all other duties as assigned by management.

Required Qualifications:

• Certified Professional Coder (CPC) Certification.
• Associate’s Degree.
• In lieu of an Associate’s degree, 5 years of experience is required.
• Working knowledge of coding requirements
• Must have excellent expressive and written communication skills.
• Must be highly organized.
• Must be proficient in Microsoft Office Word and Excel.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day.

Any additional physical demands will be outlined and provided by management.

​The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.

Staff Co is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. Staff Co and SUNY have entered into a professional employer agreement under which Staff Co is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining.

Staff Co is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

Given Staff Co’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of Staff Co, not public sector employees of SUNY. The private sector nature of the Staff Co employees has been approved by NYS Civil…