Advertised Summary Job Description: POSITION SUMMARY Reporting to the Director Revenue Cycle and Billing & Coding Manager, the Coding Coordinator provides coding and revenue cycle support to the Department of Emergency Medicine.
The Coding Coordinator is responsible for the review and resolution of all coding related pre-billing edits and/or rejections to ensure prompt and accurate reimbursement. This Coordinator initiates medical record reviews and recommends proper action. This Coordinator communicates with providers and billing staff regarding missing or unclear documentation. This Coordinator will analyze and report trends to Billing & Coding Manager.
Reviews and resolves all assigned tasks and encounters associated with potential coding discrepancies as it relates to prebilling system edits and/or claims with outstanding balances.
Reviews and resolves any pre & post billing coding edits (TES) and resubmits claim for adjudication.
Ensures all services documented in patient charts are coded with appropriate diagnoses, CPT & HCPCS procedure codes
Aims to reduce accounts receivable by reviewing claims rejected for coding; investigates assigned accounts to determine what additional steps must be taken for claims to be resolved.
Conducts one-on-one or small group education to physicians regarding the results of their periodic audits while maintaining an exceptionally high level of professionalism
Assists providers in developing affective Letters of Medical Necessity (LMN) and/or templates for appealing denials associated to complex procedures based on payer requirements and medical documentation
Maintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 Form requirements, diagnosis and CPT/HCPCS coding, and applicable county, state, and federal requirements.
Researches and responds to insurance coding requests; assist with claim issues, including preparing coding appeals.
Proactively elevates coding problems to the providers and maintains tracking reports when issues and trends have been identified.
Answers and triages patient correspondence received via telephone, emails and fax. Responds to inquiries and directs callers
Cross covers other duties as needed.
General Minimum Qualifications: Requires a bachelor's degree or equivalent in education and experience, plus three years of related experience.
Additional Specific Minimum Qualifications:
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_173694
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.