Billing Compliance Specialist at Weill Cornell… · New York…

Title: Billing Compliance Specialist
Location: Midtown
Org Unit: The Office of Compliance
Work Days:
Weekly Hours: 35.00
Exemption Status: Exempt
Salary Range: $79,400.00 - $90,200.00
*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Monitors physician billing activity for compliance and audit feedback processes.
Job Responsibilities
Tracks and trends results of audits. Prepares and presents reports on results.
Analyzes physician coding patterns and other documentation utilizing electronic databases.
Assists in orienting new employees/faculty to departmental billing and compliance policies and procedures and notifies new employees/faculty of upcoming compliance training workshop dates.
Monitors coding and medical record documentation compliance with federal and state regulations. Educates clinical staff and providers on compliant coding for maximum revenue.
Designs audit tools and methodology for conducting audits. Conducts prospective and retrospective compliance documentation audits. Maintains integrity of electronic and hard copy files and databases.
Researches and educates providers on appropriate coding for provider specialty.
Trains as necessary on coding/documentation changes implemented internally and by insurance carriers.
Monitors effectiveness of corrective action plans.
Evaluates current compliance plan, makes recommendations for changes, and implements and executes new policies and procedures.
Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
Identifies trends in revenue cycle activities, including payments, denials, billing, coding and/or documentation errors. Recommends actions plans to address deficiencies. Monitors implementation of corrective action plans.
Education
Bachelor's Degree in related field
Experience
Approximately 2-3 years of experience in medical records and/or physician billing

Approximately 1-2 years of experience as medical coder
Knowledge, Skills and Abilities
Demonstrated knowledge of professional billing, including physician billing, reimbursement, and carrier relations.
Demonstrated knowledge of third party reimbursement.
Licenses and Certifications
Certified Professional Coder Certificate (CPC)
Working Conditions/Physical Demands
Standard office work
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