Reimbursement Analyst (CCS or CPC) Coding Chargemaster/...

Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid The Reimbursement Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care, commercial and federal contracts to assure the recovery of all inpatient and outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. Responsibilities Assures that fee schedules, Current Procedural Terminology (CPT) and International Statistical Classification of Diseases (ICD-9) codes are accurately entered in the billing system. Identifies and defines appropriate CPT codes for existing and new services. Assures that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in the billing system. Analyzes payments for high volume and high dollar procedures to assure that Medicine FPA billing is paid appropriately; analyzes payment trends to identify patterns of payment denials. Coordinates initiatives with the billing and collection area to initiate plans for resolving billing disputes. Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations. Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation and signature requirements. Performs other related duties. Qualifications Associate's degree in accounting or business related field; Bachelor's degree preferred 4 years of insurance billing and collection procedures in a health care environment Excellent written, verbal and interpersonal skills Demonstrated knowledge of insurance billing and collection procedures and CPT and ICD-9 coding Preferred Experience: 3 plus years of multispecialty coding experience in AmSurg and/or clinic settings preferred Proficient in Epic Billing and have thorough working knowledge of ICD-10 diagnosis coding guidelines, CPT/HCPCS code assignments preferred Knowledge of the Outpatient Prospective Payment System (OPPS) preferred Ability to concentrate and accomplish tasks with explicit accuracy and established/maintained effective working relationships as required by the duties of the position preferred Functional knowledge of facility EMR, encoder, and other support software preferred Detailed knowledge and understanding of hospital vs. professional charging and coding preferred AHIMA (CCS) or AAPC (CPC) approved credential preferred Employer Description Strength Through Diversity The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and do not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism. EOE Minorities/Women/Disabled/Veterans Compensation The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58661 - $81675 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. #J-18808-Ljbffr

Created: 2025-03-01