Billing Compliance Coordinator-Labs
- 1091117_RR00057910
- Finance/Accounting/Billing, Clin Labs-Administration (H183), NYU Langone Hospitals
- Full-Time/Regular
- NYU Langone Hospitals
- Monday – Friday, 9am to 5pm variable hours
ABOUT NYU LANGONE HEALTH
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 six 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.
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.
With over six inpatient locations, and additional facilities spread throughout, NYU Langone Health is New York City’s premier healthcare institution. Our world-class facilities service all five boroughs and treat a full range of medical conditions in both inpatient and outpatient settings. Our growing outpatient network allows us to deliver our exceptional medical services directly to the communities we serve. Plus, our doctors and nurses are routinely voted as some of the best in the nation. It’s no wonder why the name NYU Langone Health has become synonymous with excellence.
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To protect the safety of our patients, staff, and the community at large effective August 16, 2021 NYU Langone Health requires COVID-19 vaccination of all faculty, staff, voluntary attending physicians, Howard Hughes Medical Institute employees, non-compensated faculty, students, clinical or academic observers, and volunteers, unless granted an approved exemption (in New York State, only medical exemptions shall be considered).
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Job Details
Position Summary:
We have an exciting opportunity to join our team as a Billing Compliance Coordinator-Labs.
The Billing Coordinator is responsible for overseeing the Department of Pathology & Clinical Laboratories’ billing practices. This position will require review of billing practices in the department and ensuring that billing compliance is reviewed, managed and maintained for all laboratory testing. Additionally, this position will require maintenance of Epic billing queues and working with MCIT/Epic and Hospital billing teams to maintain these queues. Additional responsibilities include creating invoices for revenue collection, reviewing invoices for send-out testing to ensure accuracy of charges, and assisting the Assistant Director as needed on other business-related tasks.
Job Responsibilities
Job Responsibilities:
1. Charge Reconciliation/Charge Mapping. Ensure compliance for charge capture and billing, this includes cross-campus issues related to shared specimens. Review and respond to insurance denials due to MUEs edits, remove or edit charges to ensure proper claim submission. Work with Revenue Cycle Operations and Hospital billing in audit reviews and establishing best practices. Communicates with providers, patients, coders, management, or other responsible parties to ensure the correctness and completeness of charges and claims.
2. Competent in Epic HB Billing system, Sunquest and HB Beaker. Monitors new changes to billing rules as dictated by government and third party payers found on payer websites. Understands and quantifies impact of these changes to departmental revenue. Be familiar with the Chargemaster and how to look up information in it.
3. Manages EPIC work queues for Anatomic Pathology and Clinical laboratory systems including resolving Hospital Account Billing Issues and dates of service discrepancies.
4. Create and reconcile invoices for Anatomic Pathology and Clinical laboratory to obtain external and Professional/Affiliation Revenue. Run volume reports in Beaker and Sunquest analyzing charges for send-out testing to obtain reimbursement.
5. Ensure invoices are received by the Accounts Payable Department and paid timely and accurately. Investigate invoice disputes as requested by vendors and Managers. Create purchase orders to pay for contracts and invoices. Run invoice/PO reports in PeopleSoft Business Financials (PBI) to track remaining balances on purchase orders.
6. Approve requisitions in PeopleSoft Financials while being mindful of the budget.
7. Collaborate with Assistant Director and Finance to develop revenue projections based off of invoices and reimbursements from tests. Calculate cost per tests based off of test volume projections and total costs of reagents/consumables/salaries. Interpret insurance reimbursements based off of tests and payer.
8. Work with Assistant Director to seek new business opportunities in an effort to grow revenue and identify cost-cutting initiatives.
9. Support Assistant Director with other tasks such as preparing capital request forms, IOI forms, year-end accrual forms, and Asset Relocation/Discard forms; updating spreadsheets to track capital equipment, paid invoices, revenue collection, and Preventive Maintenance Contracts; preparing Budget modifications and annual budget entry into Hyperion with report preparation.
10. Performs other duties as assigned.
Qualifications
Minimum Qualifications:
- Bachelor’s degree and certification as a Certified Professional Coder (CPC).
- 5+ years of experience in laboratory coding. Knowledge of current procedures codes (CPT) and International Class of Diseases Codes (ICD-10) utilized in medical billing.
- Excellent communication skills, team player with excellent people skills, and ability to self-motivate.
Preferred Qualifications:
- MBA or MS with 6+ years of experience performing laboratory coding.
- Experience in a hospital laboratory.
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. To view the Pay Transparency Notice, please click here.
Organization
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. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.
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