Billing Coordinator II (FGP) Manhattan, Billing Department

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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Position Summary:
We have an exciting opportunity to join our team as a Billing Coordinator II . 

Become a key member of the NYU Langone Health Faculty Group Practice Central Billing Offices (FGP CBO). In this role, the successful candidate coordinates all aspects of coding review, claim submission, charge reconciliation and follow-up on claims denied for coding-related reasons for various specialties and providers. Provide coding, financial and/or operational reports, and provide feedback to providers to improve documentation to maximize revenue and reduce denials. Review and train practices on local and national coding and reimbursement policies including payer coding guidelines. Work with patients and guarantors to clarify financial responsibilities as needed.

Job Responsibilities:

• Take initiative to teach and share new information and provide constructive feedback. Communicate delays and workqueue issues to management daily. 
• Lead and collaborate with practice personnel and administration to implement change to practice operations where necessary, to improve accuracy of information and enhance revenue. 
• Ensure timely and accurate collection, preparation, and verification of billing information submitted in billing system. Review billing collection and denial reports and recommend changes on how to improve issues.
• Serve as a liaison to coding vendor for questions, data requests, and other inquiries.  Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Compare coding to notes/documentation and communicate with providers to clarify errors, correct coding and prepare appeals and reconsideration requests. Appeal complex denials through review of payer policies, coding, contracts, and medical records.  Utilize subject matter experts as needed.
• Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
• Staff who possess coding certification at the time of hire or who obtain coding certification while employed by NYU must maintain active status of certification. 

Patient Experience and Access 
•  Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter. 
•   Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
•   Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate.
•    Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.  
•    Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
•    Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
•    Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience.
•    Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.

Minimum Qualifications:
To qualify you must have a Bachelor’s degree with a minimum of 3+ years of relevant work experience or equivalent combination or training and relevant work experience. Ability to multitask and prioritize. Good communication, interpersonal, and computer skills. Ability to develop and maintain effective working relationships with staff and patients. Detail oriented with high level of accuracy for reviewing charge batch submissions, analyzing and correcting coding denials, preparing, and presenting analyses. Stays up to date with industry requirements. Knowledge of medical terminology required. Familiar with standard office equipment.

Preferred Qualifications:
Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC) preferred.

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 $64,350.00 – $64,350.00Annually. 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