Reimbursement Specialist

Req#: 41188
Category(s): FinancePhysician BillingCBO Operations
Full Time / Part Time: Full time 40 hrs.
Shift: Day

The Coder-Reimbursement Specialist-CPC is responsible for correct coding, charge entry and reimbursement/denial follow up tasked by their team lead. This position will code clinical and procedural CPT and ICD-10-CM diagnosis for professional charges and review charges and documentation applied by providers and medical staff to ensure they are compliant with federal and state regulations and laws as well as other insurance carrier guidelines. This position will assist the team lead in serving as the Practice Coding Operations liaison between the assigned Departments and MCPG. Must be efficient with electronic medical records and knowledgeable of various insurance company billing policies and procedures. Reports directly to the Coder Manager. Must have ability to work with minimum-to-moderate direct supervision and as a team player with other practice staff members

Albany Med offers a competitive salary and benefits package that includes:

• Excellent benefits including health/dental/vision
• Employer-funded pension plan
• Paid Leave

Albany Med is the premier health care system in Northeastern New York. It is the region’s only academic health sciences center, comprised of Albany Medical Center Hospital, Albany Medical College, the Albany Med Physician’s Group, and affiliate hospitals Saratoga Hospital and Columbia Memorial Health.
Anchored in the beautiful and historic City of Albany, New York, Albany Med offers a wide range of specialty care which provides unique opportunities to gain invaluable experience. It is the region’s only Level I trauma center for more than three million people in 25 counties and is home to the region’s only level IV neonatal intensive care unit (NICU), and the region’s only pediatric emergency department and children’s hospital. Albany Med employs the largest group of world-class specialists and subspecialists in northeastern New York.
Albany Med’s mission is to provide unparalleled adult and pediatric patient care, high-quality medical education, and biomedical research that results in medical innovations.

Thank you for your interest in Albany Med!

Please be aware for the safety and security of our colleagues and patients all new employees are required to successfully complete all applicable federal,
State and institutionally mandated pre-employment screening requirements including:

• Relevant Background Check(s)
• Drug Screen
• PPD / Tuberculosis Test
• Reference Check
• Applicable vaccinations

Albany Med is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.