Coding Auditor-Revenue Management
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- 1135993_RR00098176
- Finance/Accounting/Billing, FIN-Revenue Management (C661), NYU Langone Health
- Full-Time/Regular
- NYU Langone Health
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- Mon-Fri 9am-5pm
ABOUT NYU LANGONE HEALTH
NYU Langone Health is a world-class, patient-centered, integrated academic medical center. Ranked as the #1 Hospital for quality and patient safety by Vizient, Inc., and with 10 clinical specialties among the top 10 in the nation according to U.S. News & World Report, NYU Langone’s culture is rooted in excellence in patient care, education, and research. NYU Langone comprises more than 320 locations throughout the New York area and in Florida, including six inpatient locations, a children’s hospital, and four emergency rooms. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, NYU Grossman School of Medicine, and NYU Grossman Long Island School of Medicine. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube, and Instagram.
Working at NYU Langone Health
At NYU Langone Health, there are numerous areas for you as a leadership professional to make an impact on our organization. As one of the nation’s leading medical centers, we need bright, innovative people to step up and take charge of the many initiatives currently taking place here. From our brand new 830,000-square-foot Helen L. and Martin S. Kimmel Pavilion to our new 16 story Science Building, NYU Langone Health is ripe with career-opportunities that are sure to transform the way we think about medical care.
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.
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.
Position Summary:
We have an exciting opportunity to join our team as a Coding Auditor-Revenue Management.
In this role, the successful candidate as the Code Based Charge Auditor performs detailed audits of medical cases to ensure accuracy of assigned charge codes prices availability of documented medical records medical accounts and compares the cases with the itemized bill and overall procedures The Code Based Charge Auditor reviews and audits current and retro accounts and reports audit outcomes regarding charge errors percentage of savings or losses for the facility data processing errors the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill Works cooperatively with the Process Improvement Analyst in the identification of process improvement initiatives related to the coding and charging of hospital services
Job Responsibilities:
- Performs and participates in other related duties as required
- Performs audits of coding and medical record documentation against the itemized charges and UB 92/UB 04 codes assigned on government and non government accounts to ensure all services provided are accurately reflected on the itemized statement
- Reviews all related documents and identifies clerical interpretation and record errors and adjusts incorrect items and/or services
- Defends facility charging and coding practices during focused audits
- Follows up with Physicians/departments to better understand the procedures and identify if any procedures have not been reported/priced; Identify opportunities to assign a more appropriate code that results in a higher return to the Health System
- Reviews individual charge procedures related to each case identifies correct service codes on supplies and/or services and makes corrections as needed Identifies compliances risks and financial opportunities based on chart reviews
- Creates/updates and/or maintains charge protocol manuals for each service area reviewed Seeks information necessary to accurately complete all aspects of the job requirements
- Documents results of all special project work and provides recommendations for revenue managing opportunities and process improvement initiatives relating to special projects
- Makes ongoing observations and recommendations to prevent future billing problems and prepares reports as required by management regarding process improvement recommendations/initiatives and systemic claim processing issues
- Participates in and/or leads inter departmental process improvement initiatives
- Liaises with hospital departments to communicate observations seek clarification and makes recommendations for charge capture improvement
- Reviews claims to ensure correct codes for patients accounts Utilizes correct coding initiative conventions and follow established policies and guidelines to determine accurate code selection based upon documentation in the medical record Decreases bill rejections and payment delays due to coding and billing practices increases timeliness and accuracy of federal and state reimbursement and any other reporting metrics that provide benchmarks to improvements
- Responds in a timely manner to requested and/or mandated charge master changes from the CDM Analyst
- Investigates and documents any potential for new program and product development
- Submits recommendation to make internal changes as needed to keep the facility coding and chargepractices compliant with applicable rules and regulations
- Develops data and creates analysis regarding effects on revenue due to requested or mandated changes to the CDM and/or billing practices
- Adheres to established productivity standards participates in departmental performance improvement activities and work level
- Communicates and works with all internal and external customers
Minimum Qualifications:
To qualify you must have a Bachelors Degree in health related field Accounting or Finance Active Coding Certification/Credentials with two 2 years of recent coding experience Demonstrated proficiency in medical record analysis and ICD 10CM/CPT 4 coding methodology and guidelines. Work experience with PCs MS Office products Outlook Word Excel etc. EPIC experience preferred or familiarity with electronic medical record documentation. Proficient in payment review systems hospital information systems clinical record information systems and coding methodologies. Strong quantitative analytical interpersonal and communication skills. Understand medical records hospital bills insurance terms payment methodologies and the charge master. Knowledge of regulatory agencies requirements CMS Medicaid JCAHO and remain current on new regulations policies and procedures.
Preferred Licenses: Certified Procedural Coder
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.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.
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 – $79,500.00 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.
To view the Pay Transparency Notice, please click here
How Our Employees Grow
Ariana C.
Associate Director, FGP Professional Billing Operations
“I was instantly attracted to the culture at NYU Langone Health. I love the fast-paced environment and how there are so many opportunities for career growth. We are constantly expanding, which helps me learn new things and meet new and interesting people with diverse backgrounds.”
Olga S.
Coding Quality Manager at NYU Langone Health in Florida
“I am very proud to work for one of the best hospitals in New York! NYU Langone Health is a great institution that cares about patients and supporting employees. My role as a manager is to make sure that my team members are working as a team to drive our mission forward. Effective teamwork achieves much more than any individual can!”
Yannique S.
Credentials Associate
“My daughter was born at NYU Langone Health where we received exceptional care. That was when building a career at NYU Langone became a goal of mine. I wanted to be just like the individuals who surrounded us in our time of need, and I knew I wanted to make a positive impact. Today, I get to do just that as a member of the Medical Staff Services Department. The work I perform each day is crucial in maintaining high standards of patient care and safety within our organization.”
Eileen P.
Director, Revenue Cycle Initiatives
“I chose NYU Langone Health because I wanted to be a part of a world-class health system. I feel a sense of pride working here and feel supported in a truly cohesive and diverse working environment. I have taken a number of career development courses related to leadership. The expansion in training and development curriculums over the years has really been impressive and it’s a testament to how much NYU Langone wants to invest in and develop their in-house talent!”
Adair L.
Associate Director, Development Administration
“NYU Langone Health is not only my employer, it’s also a community that I am very proud to be a part of.”
Tanisha D.
Program Coordinator
“I saw that there were many opportunities to grow within the organization and used the tuition remission offering at NYU Langone Health to obtain my master’s degree. NYU Langone celebrates their employees and genuinely wants to hire from within, so take advantage of the resources available to you and speak to members of the Talent Acquisition Team, who are helpful.”
Doris V.
Revenue Cycle Manager – Pediatrics Department
“It’s not just that NYU Langone Health cares about their employees – it’s the fact that we are family. I quickly learned that in order to grow and to be successful you need to collaborate with others, work hard and deliver excellence.”
Taslema L.
Talent Acquisition Specialist
At NYU Langone Health, I’ve been fortunate to have leaders that supported my growth within the institution. I have taken many courses that NYU Langone offers, which have been extremely valuable in helping me become the professional I am today. I recently completed the Team Leadership Development Program which has provided me with tools to upskill to the next step in my career. The opportunities here are endless.
Nazneen H.
Clinical Charge Nurse Auditor in Revenue Management Initiatives
“I was fortunate to receive firsthand training from some of the founding team members of my department. This made my onboarding experience invaluable and now I will get to pass on my knowledge and experience to future new hires within the department and pay it forward. The collaborative spirit at NYU Langone Health has created an excellent work culture where I can work alongside colleagues who share our same company vision to serve, teach, and discover.”
Himanshu T.
Senior Accounts Payable Associate
“It has been such a privilege to be a part of NYU Langone Health. It’s a place filled with hard work, cheerful coworkers, and supportive management. My supervisor and manager motivated me to grow personally and professionally. The career development resources offered, such as professional development classes and programs have greatly contributed to my growth.”