NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.
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Reporting to the Assistant Director, Professional Billing, and the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process. The incumbent will also assist with the identification of front-end operation improvements in the Faculty Practices.
Job Responsibilities:
- Conducts internal audits and reviews activities to improve the revenue cycle, claims production and coding integrity.
- Assist with special projects on as-needed basis.
- Provides onsite support and assistance for new practices; train the staff on workflows and EPIC Charge and Edit work queues.
- Monitor the Ambulatory Open Encounters report to ensure that charges are submitted timel.
- Leads and participates in moderately complex projects related to revenue cycle initiatives.
- Analyzes billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
- Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
- Identify front-end operation improvements and assist with the conduct re-retraining.
- Provides guidance and education related to billing and charge capture of services to multiple staff levels; facilitates proper recording of transactions in compliance with state, federal, and other third-party payer guidelines.
- Maintains collaborative relationships with internal and external teams to ensure integration and alignment of department priorities.
- Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
- Performs charge reconciliation process to ensure that charges are captured.
- Performs various financial analyses and provides recommendations based on activities. Review monthly FGP revenue cycle metrics for areas of improvement within practices.
- Implements charge capture corrective measures and monitoring tools to ensure sustainability of changes; performs, reviews, and monitors statistics and key performance indicators to identify improvement opportunities.
- Works directly with Faculty Practice Billing Coordinators on developing and maintaining solvency within each practices revenue cycle. Review, monitors and tracks charge and edit work queues of each billing coordinator and provide support if needed.
Minimum Qualifications:
Bachelors degree and 4-6 years of auditing, revenue cycle management experience in a health care environment or equivalent combination of education and experience.Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals. Excellent organizational and project management skills.Strong time management, attention to detail, and follow through.Well-developed research skills.Strong knowledge of revenue cycle process, revenue integrity and its impact throughout the revenue cycle. Knowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math.Ability to: plan, schedule, assign, coordinate, and evaluate the work of billing staff; provide training; read, interpret, and apply policies and procedures; draw conclusions, and make recommendations; exercise independent judgment; maintain effective working relationships with subordinates, superiors, and others; maintain confidentiality.
Preferred Licenses: Certified Professional Coder
Preferred Qualifications:
Preferred Qualifications:CPC Certification.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.
At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it’s developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.
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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $67,771.14 – $90,100.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.