Description Medical BillerAffiliate Wide (Buffalo, Rochester, or Syracuse, NY) Planned Parenthood of Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families. With respect. Without judgment. No matter what. In support of PPCWNY’s mission, the Medical Biller II has the overall responsibility to ensure effective billing and collections on all patient accounts. Essential Functions - Reviews all Tasks assigned to the individual/workgroup. - Aggressively follows up on all unpaid accounts to ensure that the A/R benchmark targets are met or exceeded. - Answers patient calls and address questions related to insurance and patient responsibility. - Works in conjunction with other staff to successfully meet internal goals. - Performs all duties in accordance with established agency policies, protocol and the In This Together services ethos, workplace values, and service standards. - Notifies Billing Manager of any collection or workflow issues. - Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs Requirements QualificationsApplicants must possess the following qualifications (or equivalent combination of education and experience): Education - Associate’s degree in business, accounting, business administration, or a related field or equivalent combination of education and experience Experience - Minimum three years of experience in medical billing/collections - Minimum three years of experience with computerized billing/receivables system and reports - Experience with EPIC preferred Certifications - Ideal candidate will have one of the following certifications, but is not required: Registered Health Information Administrator (RHIA), Certified Health Information Technician (CHIT), Certified Coding Specialist (CCS), Certified Medical Billing Specialist (CMBS), or Certified Professional Coder (CPC) Knowledge, Skills, & Abilities - Must be sensitive to patient’s financial and clinical needs while maintaining the patient’s confidentiality - Experience in insurance guidelines and programs (i.e., Medicaid and Medicare) - Knowledge of ICD-9/10, HCPCS and CPT codes - Extensive experience with follow-up on unpaid claims within standard billing cycle timeframes - Extensive experience with appealing insurance companies for denied claims - ERA payment posting experience - Must be able to multi-task and work in a fast-paced environment effectively under deadlines - Accuracy and attention to detail is essential - Extensive experience in researching issues and providing resolutions - Strong analytical and problem-solving skills - Must be able to work independently and as a team player - In-depth knowledge of Government and non-Government payer sources - Experience working with databases and Microsoft Office (i.e., Excel and Word) - Ability to work a flexible schedule (i.e., early mornings and evenings) - Must have top-notch customer service and follow-up skills - Ability to read and interpret medical procedures and terminology - Planned Parenthood seeks candidates who are proficient in two or more languages Working Conditions - Standard health center environment - Well-lit/ventilated Physical Requirements - Possess sufficient mobility to perform the Essential Functions listed in this Job Description with or without an accommodation - Ability to lift 25 pounds with or without an accommodation - May experience visual fatigue working at computer with potential extended periods of sitting - Ability to travel to all agency locations as assigned Work Schedule This is a full-time, 40 hour a week, position; regular schedule will be Monday – Friday with occasional evenings and weekends. Benefits & CompensationAt PPCWNY, we are committed to equitable compensation practices and transparency. In alignment with these efforts, the pay for this position ranges from $21.89 to $25.36/hour. Actual compensation will be determined by experience and other factors permitted by law. In addition to competitive compensation, PPCWNY offers an extensive benefits package with generous Paid Time Off, 10 paid holidays, affordable medical, dental, and vision options, Health Savings Account or Flexible Spending Account, 401(k) with match, and much more! Planned Parenthood of Central and Western New York is an equal opportunity employer.

Position Summary Baptist Health is looking for a Physician Coder II to work with our Baptist Health Medical Group. This will be a Full-time role working home-based (remote). The Physician Coder II will accurately and efficiently accesses a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Baptist Health offers competitive pay and benefits! - Medical, Dental, Vision - 403(b) Retirement Savings Plan - Health Savings Account (HSA) - Flexible Spending Account (FSA) - Paid Time Off (up to 5 weeks to start) - Life Insurance - Extended Leave Plan (ELP) - Family Care (childcare, elder care, pet care) - Paid Parental Leave - Pet Insurance - Car Insurance - Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt ALL benefits start on day one! Responsibilities - Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. - Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels) - Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. - Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. - Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. - Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) - Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. - Utilizes resource material available in department to support accurate coding practices. - Maintains patient confidentiality. - Demonstrates good communication skills both verbal and written. - Maintains 90% accuracy rate. - Attends departmental and other meetings as scheduled. Qualifications Education/Training - High school diploma or equivalent. - Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. - Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. Licensure/Certification - One of the following national certifications: - Certified Professional Coder (CPC) through the American Academy of Professional Coders - Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) - Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) - Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA) - Certified Medical Coder (CMC) through Practice Management Institute Experience - Three (3) years certified coding experience in professional or physician practice coding. - Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred - Knowledge of surgical coding is desired

About Equip Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health. Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip’s culture. Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families. About the role The Medical Cash Poster will be responsible for ensuring timely and accurate posting of both insurance and patient payments to accounts. The Medical Cash Poster is vital to ensuring that patient accounts are up-to-date and information being provided to our patients and their families is accurate. Responsibilities - Process insurance and patient refund requests in a timely manner - Post payments and/or denials from insurance remits - Interpret coded data to understand claims submitted to insurance companies - Communicate with payors about overpayments and/or missing EOBs - Process and track patient statements - Perform other duties as assigned. Qualifications - Familiarity with ANSI codes used for medical billing and claims processing - High School Diploma, with AA preferred - At least one year of medical payment posting experience Physical Demands Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed. At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law. Our dedication to equitable access, which is core to our mission, extends to how we build our "village." In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at accommodations@equip.health. #LI-Remote

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties and Responsibilities - Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. - Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines. - Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. - Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. - Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. - Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim. - Comply with comprehensive internal coding policies and procedures that are consistent with requirements. - Attends coding meetings and roundtable sessions. - Participates in daily huddles and LEAN problem-solving activities. - Focused with no distractions while working and participating in meetings. - Ensures camera on while attending Teams calls. - Assists with organizing the shared drive for the medical coding department. - Other duties as assigned by manager. Qualifications - High School Diploma/G.E.D. - required - Prior experience in hospital medical coding - preferred - Prior experience with 3M 360 and EPIC system - preferred - Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) - Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency) - Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency) - Excellent written and verbal communication skills. (High proficiency) - Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency) - Detail-oriented and efficient while maintaining productivity. - Coding certification / credential through AHIMA or AAPC and be in good standing. - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands - Standing - Occasionally - Walking - Occasionally - Sitting - Constantly - Lifting - Rarely - Carrying - Rarely - Pushing - Rarely - Pulling - Rarely - Climbing - Rarely - Balancing - Rarely - Stooping - Rarely - Kneeling - Rarely - Crouching - Rarely - Crawling - Rarely - Reaching - Rarely - Handling - Occasionally - Grasping - Occasionally - Feeling - Rarely - Talking - Frequently - Hearing - Frequently - Repetitive Motions - Frequently - Eye/Hand/Foot Coordination - Frequently Working Conditions - Extreme cold - Rarely - Extreme heat - Rarely - Humidity - Rarely - Wet - Rarely - Noise - Occasionally - Hazards - Rarely - Temperature Change - Rarely - Atmospheric Conditions - Rarely - Vibration - Rarely Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, 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 Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Med Health System!​ Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, 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 Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.