Billing & Coding Specialist
at Adjuvant.Health

Date Posted: 11/21/2019

Job Description

Billing & Coding Specialist

Medford, NY

Peds First Pediatrics, a division of Allied Physicians Group, has been in practice for 10 years in Medford, NY.  All medical services are performed under the supervision of board-certified Pediatricians who are committed to working as a team, along with their staff, to ensure the best care is offered to all families.  Peds First is dedicated to providing the best experience for our patients and families.

Peds First Pediatrics is looking for a Billing & Coding Specialist to enhance their team!

This is a full-time role working thirty (30) to forty (40) hours each week.  For this position, availability and flexibility are very important.

Company Overview:

Adjuvant.Health, powered by Allied Physicians Group, supports our physician business services with our highly trained and dedicated team. This allows physicians to focus on patient care while we focus on administrative services, ultimately creating a better work-life balance. We currently support 34 physician practices located throughout Long Island, Queens, Brooklyn, Staten-Island as well as Westchester and Orange Counties.

Allied Physician Group’s mission is to provide the highest quality healthcare with exceptional service to all who enter our doors. Our vision is to create an exceptional patient experience with a culture that empowers our staff and offer professional fulfillment to our providers. Our Core Values are what makes our culture:

•          Respect

•          Integrity

•          Compassion

•          Humility

•          Empathy

•          Staff

Position Responsibilities:

  • Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
  • Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
  • Enters appropriate data into the CHS Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and surgeon information to complete the charge process.
  • Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
  • Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
  • Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
  • Responsible for ensuring the batch processes for all coded charges.
  • Utilizes batch-logging systems to comply with internal audit standards.
  • Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
  • Works in conjunction with the reimbursement staff to answer all inquiries regarding coding and billing for CHS physicians' services.
  • Works in coordination with other members of the Physicians' Billing Office as necessary.
  • Meets and exceeds short- and long-term goals as established for the department.
  • Performs duties and job functions in accordance with the policies and procedures established for the department.
  • Reports to work, meetings and professional obligations on time.
  • Participates in administrative staff meetings and attends other meetings and seminars.
  • Assists in evaluation of reports, decisions, and results of department in relation to established goals.
  • Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.
  • Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the team's projects/goals are completed.
  • Takes ownership of special projects, researches data and follows through with detailed action plans.
  • Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
  • Performs other related duties as required and assigned.
  • Adheres to Corporate, Department and HR policies and procedures.
  • Responsible for collecting and reconciling patient balances and collection que’s.

Preferred Qualifications:

  • High school diploma or GED completion is required.
  • Certified Professional Coder with a minimum of two years’ experience with CPT/ICD-10 coding of physician services preferred.
  • Good working knowledge of medical terminology and anatomy required.

Knowledge & Experience:

  • Knowledge of current third-party billing and collection regulatory guidelines and requirements.
  • Good interpersonal skills and a basic understanding of team management concepts.
  • Ability to gather and interpret clinical data.
  • Ability to work independently in a fast-paced environment.

Physical Requirements:

  • Employee is required to have visual and auditory acuity necessary for communications with other employees and/or customers to meet business needs of CHS.  
  • Employee must be able to see written documentation and be able to speak and hear for communication with employees/customers.   
  • Ability to use a wide array of office equipment including, but not limited to a PC, copier, fax, multi-line telephone, etc.  
  • Employee is exposed to general indoor working conditions and may on occasion require light lifting or no greater than 20 pounds.


•          Healthcare and Wellness Benefits

•          401K & 3% Profit Sharing (after one-year)

•          Paid Time Off

•          Flexible Spending Account (FSA)

•          Basic and Supplemental Life Insurance

•          AFLAC Voluntary Benefits

This Organization Participates in E-Verify. Allied Physicians Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Job Snapshot

  • Employee Type: Full-Time
  • Location: Medford, NY
  • Job Type: Management
  • Experience: Not Specified
  • Date Posted: 11/21/2019

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