Facility Biller/Coder - Advanced - Nuvance Health

Health Quest and Western Connecticut Health Network have combined to form a new nonprofit health system. The name for the new health system will be Nuvance Health. The new health system was created to provide communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible and affordable care.

Remote Coder positions are available in all states EXCEPT CA and HI

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations.

Summary:

Performs accurate and timely billing, coding, and reconciliation of moderately complex accounts. Serves as a resource to others for coding and charging questions. Assists with training and special revenue projects under the Supervisor’s guidance.

Responsibilities:

Translates narrative information from billing encounter forms and orders into ICD-10 and CPT-4 codes. Independently performs charging, coding, and reconciliation of complex accounts, to include interventional cardiac catheterization lab and/or interventional radiology procedures.
Identifies billing errors or missing revenue or charges based on raw data. Monitors revenue reports and patient schedules daily. Investigates and resolves issues to ensure charges and billing codes are entered in a timely manner. Assesses and identifies non-routine barriers to posting revenue and refers to proper authority.
Independently uses electronic medical records and multiple systems to identify diagnosis codes, procedure codes, and medical supply charges for most services, including interventional cath lab or IR. Identifies and resolves charging discrepancies previously generated by referencing medical record.
Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.
Researches and resolves billing, coding, charging, and medical necessity edits for diagnostic and most interventional services with a high level of accuracy. Researches and resolves discrepancy so charges keyed reflects services delivered.
Serves as back-up to other billers and some supervisor’s responsibilities. Understands different billing systems, charge codes, and billing regulations. Researches and identifies action needed to post revenue for area not usually assigned. Provides billing and coding consultation for departments without revenue staff, such as the ED and Pulmonary medicine.
Works with clinical department directors to ensure smooth revenue workflows. Identifies department-based barriers to timely revenue posting, such as workflow process steps and personnel. Under direction of supervisor, participates in department performance improvement projects for revenue operations. Identifies process and policy changes to ensure revenue is posted daily.
Attends and participates in required hospital education programs to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines, and regulations.
Performs chart-to bill audits, identifies educational opportunities, and provides technical guidance to people who are in Biller/Coder Intermediate positions and below.
Uses appropriate, accurate, and professional communication techniques when addressing billing barriers.
Exhibits strong competency in use of all computer systems and applications that are commonly used for position.
Achieves the organization’s established expectations regarding customer service, teamwork, and safety.
Fulfills all compliance responsibilities related to the position.
Performs other duties as assigned.
Skills & Experience:

5 years of experience required
Data entry, MS Word, MS Excel skills
Experience in charge capture process or medical record review
Excellent verbal and written communication and analytical skills
Documented proficiency in use of ICD-10 and CPT-4 coding as required by position
Knowledge of how to accurately use ICD-10 and CPT-4 books
Sound knowledge of basic code structure is required
Strong analytical skills with attention to detail and a high degree of accuracy.
Education:

High School Diploma or equivalent required
Desired Associate’s or bachelor’s degree in Finance, Health Administration, Public Health, Business Administration, or related discipline.
Required Certifications/Credentials:

Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or specialty coding certification

Location: REMOTE-NY-KRN

Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 8

Work Shift: Coder will be working 8-hour shifts Monday through Friday.

Org Unit: 1853

Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING

Exempt: No

Grade: S7

Salary Range: $22.2500 - $41.3200 Hourly

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.