Remote Medical Claims Processor Jobs in Schenectady, NY

THIS POSITION CAN BE ON SITE OR REMOTE FOR EAST COAST CANDIDATES!!

WHAT WILL YOU GET AT ELLIS MEDICINE?

• Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE!
• Generous paid time off to support a work-life balance, including 6 paid holidays
• Tuition Reimbursement and professional development opportunities
• Retirement plan in the form of a 401(3b) with company match after longevity
• Flexible Spending Account and Dependent Care Account—allowing you to set aside pretax dollars to better care for your health and the health of your loved ones
• Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program
• Pet Insurance because everyone in your family matters
• Employee Wellness Program
• Employee Assistance Program
• Employer paid for Life Insurance

WHAT WILL YOU DO AS A SUPERVISOR of MEDICAL CODING?

• Plans, develops, implements and communicates operational initiatives to improve the efficiency of the Medical Coding Department.
• Oversees the planning, organization, and evaluation elements of the Patient Demographic capture and system set up.
• Designs quality management monitors and workload measurement systems for productivity monitoring to ensure an efficient workflow process.
• Reviews assessment of account performance, and responds to concerns in a timely and professional manner.
• Collaborates with IT to incorporate new technologies and functionality into the existing structure
• Evaluates, designs and implements solutions for accessing, moving, and processing electronic data
• Serve as a liaison with the medical coding team and primary care offices to resolve issues in a satisfactory manner.
• Carries out responsibilities in accordance with company policies and procedures, applicable regulations, including HIPAA and Labor regulations.
• Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems
• Responsible for coding audits for practice providers to optimize accurate documentation and coding
• Oversight of the medical coding team relating to the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely
• Conducts training and supports professional development opportunities of staff to stay abreast to new coding and clinical guidelines.
• Knowledge of the practice’s charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department
• Responsible for participation in ongoing education relevant to practice specialty, assists in training for new employees and coverage
• Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely.
• Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguarding the integrity of electronic records
• Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).
• Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET
• Works collaboratively with departments to resolve issues and overcome barriers

WHAT DO YOU NEED?

EDUCATION AND EXPERIENCE REQUIREMENTS: 

• High School Diploma or GED Required, Associates Degree preferred
• Certified Professional Coder (CPC)
• Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards.  Skilled experience and knowledge of Windows-based software is required, including but not limited to Microsoft Windows, Excel and Word. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred. 
• A minimum of three to  five years out patient coding experience is required.  Hospital, physician practice or insurance coding and billing experience required.  Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.
• Minimum of one to two years of supervisory or leadership experience preferred. 
• Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, and will prohibit, discrimination on the basis of race, creed, color, religion, sex/gender (including pregnancy), age, national origin, disability (including pregnancy-related conditions), genetic information, predisposition or carrier status, military or veteran status, prior arrest or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, domestic violence victim status, known relationship or association with any member of a protected class, and any other characteristic protected by applicable law violates federal, state and, where applicable, local laws , reproductive health decisions or source of payment, consistent with applicable legislation and to comply with the laws pertaining thereto.

Salary Range:  $31.50-$47.26   /hour  Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the state.