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Certified Professional Coder

  • Full Time, onsite
  • State University of New York College of Optometry
  • New York, United States of America
Salary undisclosed

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The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detail-oriented and be able to multitask with excellent time management, problem-solving, and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers, and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post-charges in order to maximize reimbursement, minimize denials, and comply with accepted coding practices.

Responsibilities/Job Functions

  • Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity, and revenue optimization prior to claims submission.
  • Reviews and monitors statistics and key performance indicators to identify improvement opportunities.
  • Reviews processes and conduct internal audits to improve the revenue cycle, claims production, and coding integrity.
  • Educates providers on coding policies and procedures and provide feedback on coding accuracy.
  • Provide guidance and education related to billing to various staff levels to increase knowledge base.
  • Identify front-end operational improvements and assist with providing in-service to staff, as needed.
  • Works collaboratively with providers and staff on reducing claim denials.

Minimum Qualifications

  • Current certification in any of the following: Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P) or Certified Professional Coder (CPC).
  • A minimum of three years of experience in revenue cycle and medical coding in a healthcare environment.
  • Knowledge of electronic health records.
  • Extensive knowledge of reimbursement systems, federal/state/payer-specific regulations, and policies pertaining to documentation, coding, and billing.

Preferred Qualifications

  • Experience with vision services.
  • NextGen electronic health record and practice management system.

The position is located onsite at 33 West 42nd Street, NY, NY 10036, with the possibility of remote work up to 50% after completing initial orientation, in accordance with SUNY policy.

Annual salary including location pay allowance is between $62,000-$75,000 commensurate with experience. Generous benefit package with fifteen days of annual leave to start and thirteen paid holidays per year. We are a qualifying employer in the federal Public Service Loan Forgiveness (PSLF) Program.

View our Benefits at Glance.

The State University of New York, College of Optometry is an Affirmative Action/Equal Employment Opportunity/Americans with Disabilities Act employer. The College actively seeks applications from women, veterans, individuals with disability, members of underrepresented groups, or anyone that would enrich the diversity of the College.

To view the College’s Annual Security Report, visit https://sunyopt.edu/?s+annual+security+report

About SUNY College Of Optometry

The State University of New York College of Optometry advances visual health and patient care through leadership in education, research and service. More than a half century ago a group of dedicated optometrists and benefactors came together to create an institution that would support optometric education, vision science research and extend quality vision care to all New Yorkers and the surrounding community. The State University of New York College of Optometry evolved from this mission. Since we opened our doors to our first class of students in 1971, the College has grown to become one of the leading optometric education and vision research centers in the world. The College houses the University Eye Center — one of the largest outpatient vision care clinics in the country—and engages in cutting edge research that is helping to shape the future of optometric care.
The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detail-oriented and be able to multitask with excellent time management, problem-solving, and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers, and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post-charges in order to maximize reimbursement, minimize denials, and comply with accepted coding practices.

Responsibilities/Job Functions

  • Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity, and revenue optimization prior to claims submission.
  • Reviews and monitors statistics and key performance indicators to identify improvement opportunities.
  • Reviews processes and conduct internal audits to improve the revenue cycle, claims production, and coding integrity.
  • Educates providers on coding policies and procedures and provide feedback on coding accuracy.
  • Provide guidance and education related to billing to various staff levels to increase knowledge base.
  • Identify front-end operational improvements and assist with providing in-service to staff, as needed.
  • Works collaboratively with providers and staff on reducing claim denials.

Minimum Qualifications

  • Current certification in any of the following: Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P) or Certified Professional Coder (CPC).
  • A minimum of three years of experience in revenue cycle and medical coding in a healthcare environment.
  • Knowledge of electronic health records.
  • Extensive knowledge of reimbursement systems, federal/state/payer-specific regulations, and policies pertaining to documentation, coding, and billing.

Preferred Qualifications

  • Experience with vision services.
  • NextGen electronic health record and practice management system.

The position is located onsite at 33 West 42nd Street, NY, NY 10036, with the possibility of remote work up to 50% after completing initial orientation, in accordance with SUNY policy.

Annual salary including location pay allowance is between $62,000-$75,000 commensurate with experience. Generous benefit package with fifteen days of annual leave to start and thirteen paid holidays per year. We are a qualifying employer in the federal Public Service Loan Forgiveness (PSLF) Program.

View our Benefits at Glance.

The State University of New York, College of Optometry is an Affirmative Action/Equal Employment Opportunity/Americans with Disabilities Act employer. The College actively seeks applications from women, veterans, individuals with disability, members of underrepresented groups, or anyone that would enrich the diversity of the College.

To view the College’s Annual Security Report, visit https://sunyopt.edu/?s+annual+security+report

About SUNY College Of Optometry

The State University of New York College of Optometry advances visual health and patient care through leadership in education, research and service. More than a half century ago a group of dedicated optometrists and benefactors came together to create an institution that would support optometric education, vision science research and extend quality vision care to all New Yorkers and the surrounding community. The State University of New York College of Optometry evolved from this mission. Since we opened our doors to our first class of students in 1971, the College has grown to become one of the leading optometric education and vision research centers in the world. The College houses the University Eye Center — one of the largest outpatient vision care clinics in the country—and engages in cutting edge research that is helping to shape the future of optometric care.