Title: Billing Compliance Specialist  

Location: Upper East Side  

Org Unit: Billing Support 2 

Work Days: Monday-Friday 

Weekly Hours: 35.00 

Exemption Status: Exempt

Salary Range: $73,000.00 - $82,650.00  

*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 coderKnowledge, 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

 

 

 

 

 

Weill Cornell Medicine is a comprehensive academic medical center that is committed to excellence in patient care, scientific discovery, and the education of future physicians and scientists in New York City and around the world. Our doctors and scientists - faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization - are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients - the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity Employer. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to protected status, including race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.