Clinical Data Specialist I, Patient Billing

Important Note for MSK Employees:

• A Certified Professional Coder with extensive knowledge in anatomy, physiology and medical terminology.
• Proficient in Data entry with accuracy and attention to detail.
• Able to communicate with diverse audiences and to handle complex coding scenarios.
• Adept at prioritizing work to meet commitments aligned with organizational goals
• Skilled at creating partnerships and working collaboratively to meet shared objectives and goals.
• Action-oriented and agile to adapt to new opportunities and tough challenges with high energy, and enthusiasm.

• Identify and assign appropriate principal and applicable subsequent diagnoses, and procedure codes based on pathology and surgical operative reports, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Select CPT codes at their highest level of specificity per documentation and research requirements
• Follow all coding guidelines as defined by NCCI and CMS regulations
• Resolve coding rejections based on resource review when warranted
• Communicate directly with Surgery Administration and Physicians to ensure that surgical documentation is coded in compliance with NCCI initiative and CMS regulations.
• Participate in Faculty meetings to share feedback, provide coding guidelines and resources collaboratively.
• Provide clarification on coding choices and documentation requirements upon request

• Certified Professional Coding (CPC) certification required
• Two years of Surgical coding experience required
• Experience with CPT and ICD-10-CM coding
• Experience in an automated healthcare coding environment is required