Advertised Summary Job Description: Reporting to the Divisional Administrator, the Billing Coordinator will support the billing operations in Emergency Medicine. Responsible for obtaining appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits, procedures and other services. Analyze denial and rejection reports and process appeals whenever appropriate. Provide physicians with information and direction relevant to coding. Submit charges electronically and manually in a timely manner. Assign appropriate evaluation/management levels and procedure codes for professional services. Review patient medical records to assign codes for diagnoses, treatments, procedures, and for professional services. Maintain a working knowledge of the current CPT Professional Edition, ICD-9-CM/ICD-10 coding principles, governmental regulations, protocols and third-party requirements pertaining to billing and documentation. Ensure all services documented in the patient's chart are coded with appropriate diagnoses and procedure codes. Conduct review of records to ensure compliance with coding and documentation guidelines and governmental requirements. Reconcile and correct encounters by using GE/IDX TES and claim edits. Respond to all rejection requests from follow up unit. Conduct one-on-one or small group education to physicians regarding the results of their periodic reviews while maintaining an exceptionally high level of professionalism. Provide accurate answers to physician's coding and billing questions on a timely basis. Ensure maximum efficiency and reimbursement for properly documented services. Review, modify, and recommend changes to policies and procedures to improve professional fee coding and data management. Interface with and support revenue matters with Columbia Emergency Medicine administration team, Columbia FPO/CRO, ColumbiaDoctors, NewYork-Presbyterian, and external stakeholders (McKesson/PerSe, JP Morgan Chase, public/commercial payors). Perform additional duties as needed.
General Minimum Qualifications: Requires a bachelor's degree or equivalent in education, training and experience, plus two years of related experience.
Additional Specific Minimum Qualifications: AAPC/AHIMA medical coding certification required. The professional fee coder must possess a thorough working knowledge of ICD-9- CM/ICD-10 and CPT-4 coding. Knowledge of medical terminology and medical abbreviations.
Experience with Electronic Medical Record systems. Good interpersonal, verbal, telephone and written communication skills. Functional knowledge of basic computer operation and keyboard functions. Ability to work independently. Must be a motivated individual with a positive attitude and exceptional work ethic.
Preferred Qualifications: Other Computer Software Skills such as Microsoft Word, Excel and Email. Other professional/corporate/financial experience.
As a member of the National Collegiate Athletic Association (NCAA) and the Council of Ivy Group Presidents (Ivy League), it is imperative that members of the Columbia University community, in all matters related to the intercollegiate athletics program, exhibit the highest professional standards and ethical behavior with regard to adherence to NCAA, Conference, University, and Department of Intercollegiate Athletics and Physical Education rules and regulations.
Columbia University is an Equal Opportunity/Affirmative Action employer.
Internal Number: 126_166370
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.