Rutgers, The State University of New Jersey, is seeking a Medical Coder, for the Division of Practice Management Services at the Rutgers Cancer Institute of New Jersey.
The primary purpose of the Medical Coder is to abstract charges and related diagnoses from medical records to ensure services billed are consistent with the medical record and ensure that all clinical billing adheres to statutes and regulations applicable to federal health care program requirements and to state and federal laws governing all other third party payers.
Among the key duties of this position are the following:
Abstracts pertinent information from patient records in radiation oncology. Accurately codes primary/secondary diagnoses and procedures, CPT4, ICD-9CM or HCPCS coding conventions. Sequences the diagnoses and procedures using coding guidelines.
Enters professional charges into billing software program.
Identifies bundle charges and bills appropriately according to Legacy UMDNJ compliance guidelines, federal regulations, and CCI coding initiatives.
Interacts with Physicians, Advanced Practice Nurses, and other patient care providers regarding billing and documentation policies, procedures and regulations, obtains clarification of conflicting, ambiguous, or inadequate documentation.
Instructs Physicians, Advanced Practice Nurses and staff on coding guidelines to ensure compliance.
Researches, analyzes and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services. Brings identified concerns to supervisor for resolution.
Minimum Education and Experience:
Minimum of three (3) years (four years preferred); of which one (1) year with Medical, Surgical Oncology and Radiation Oncology specialty preferred.
Proficiency in all aspects of E&M, surgical coding guidelines and radiation oncology coding and billing guidelines at the physician professional level.
Required Knowledge, Skills, and Abilities:
CPT-4 and ICD-9-CM/ ICD-10 CM coding and abstracting experience for a physician office, hospital or insurance carrier multi – specialty areas.
Certified Procedural Coder Certification (CPC) or Certified Coding Specialist Certification (CCS) for minimum of three (3) years.
Knowledgeable of CMS, Medicaid, and third party payer coding, billing, and compliance regulations.
Computer literate with proficiency and working knowledge of database and reporting tools such as Microsoft Word, Power Point and Excel.
Effective oral and written communication skills.
One (1) year with Medical, Surgical Oncology and Radiation Oncology specialty preferred.
Knowledge of IDX practice management system preferred.
Experience working in a teaching/academic/research oncology center is a plus.
Prior experience and/or use of encoder a plus.
Physical Demands and Work Environment:
PHYSICALDEMANDS: Position requires walking, sitting, standing, use of hands to finger, handle, feel, talking and hearing. Ability to lift up to 25 pounds. Color vision, peripheral vision, depth perception, and the ability to focus. Ability to work at computer for long periods of time.
Must be willing to travel to satellite offices.
Posting Number: 18ST2974
Location: Downtown New Brunswick
Internal Number: 74876
About Rutgers University
Rutgers, The State University of New Jersey, is a leading national public research university and the state's preeminent, comprehensive public institution of higher education. Rutgers is dedicated to teaching that meets the highest standards of excellence; to conducting research that breaks new ground; and to turning knowledge into solutions for local, national, and global communities. As it was at our founding in 1766, the heart of our mission is preparing students to become productive members of society and good citizens of the world. Rutgers teaches across the full educational spectrum: preschool to precollege; undergraduate to graduate and postdoctoral; and continuing education for professional and personal advancement. Rutgers is New Jersey's land-grant institution and one of the nation's foremost research universities, and as such, we educate, make discoveries, serve as an engine of economic growth, and generate ideas for improving people's lives.