Medical Coding Specialist

Overview

At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence.  We help children and families navigate through and beyond foster care. We help families struggling with conflict and poverty grow strong. We help individuals with developmental disabilities live their best lives, and we help ur neighbors access quality health and mental health services—core to building lifelong resilience and wellbeing. Together, our interrelated programs provide a whole-person, whole-family, and whole-life approach that unlocks solutions for a lifetime. We are seeking a detail-oriented and knowledgeable Medical Coding Specialist to join our team. The ideal candidate will play a pivotal role in ensuring accurate coding, compliance, and streamlined revenue cycle management (RCM) processes. This position requires a thorough understanding of medical records review, claims analysis, and collaboration with healthcare providers to ensure proper coding and maximum reimbursement.Salary - $40,000-$45,000 

Responsibilities

• Medical Records Review: Analyze patient medical records to assign accurate and appropriate codes based on diagnoses, procedures, and treatments.
• Claims Review: Review claims for completeness and compliance with insurance requirements to minimize errors, rejections, and denials.
• Charge Entry Analysis: Verify and analyze charge entries to ensure accuracy and compliance with coding standards.
• Error and Denial Correction: Identify and correct coding errors, resolve claim rejections, and address insurance denials efficiently.
• Provider Collaboration: Work closely with healthcare providers to assign accurate codes and provide guidance for improved documentation and record-keeping practices.
• Maximizing Reimbursement: Advise on documentation improvements and coding strategies to achieve optimal reimbursement for services rendered.
• Compliance Maintenance: Stay updated on state, city, and federal coding regulations, as well as payer-specific guidelines, to ensure compliance.
• Modifier Assignment: Accurately assign modifiers to codes as necessary for billing purposes.
• RCM Process Support: Partner with the billing department to ensure a smooth and efficient revenue cycle management workflow.

Qualifications

• Certification as a Medical Coding Specialist preferred and/or Experience with pediatric coding will be considered.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with medical terminology and healthcare procedures.
• Proficiency in analyzing and interpreting medical records and documentation.
• Excellent attention to detail and problem-solving skills.
• Ability to communicate effectively and collaborate with healthcare providers and billing teams.
• Experience with medical billing software and electronic health records (EHR) systems is preferred.

Education Required

Salary : $40,000 - $45,000