Coding Coordinator II (*Onsite in Las Vegas, NV*)
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- 1127946_RR00091878
- Finance/Accounting/Billing, CBO West Coding QA (N116), NYU Langone Health in Nevada
- Full-Time/Regular
- NYU Langone Health in Nevada
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- Monday – Friday
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.
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Position Summary:
We have an exciting opportunity to join our team as a Coding Coordinator II.
Become a key member of the NYU Langone Health Faculty Group Practice Central Billing Offices (FGP CBO). Coordinate 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 as a part of the revenue cycle team.
Job Responsibilities:
- Perform other duties as needed.
- Monitor reports and assigned work queues, ensuring coding, charge submission, and accounts receivable follow-up are occurring on a timely basis.
- Perform charge reconciliation to validate all revenue is captured.
- Review claims denied for coding errors, bundling, medical necessity, and/or other related reasons. Correct coding errors, draft appeal letters based on physician documentation and coding guidelines, submit supplemental claim information to insurance companies and follow up on appeals as necessary.
- Identify coding or documentation issues and suggest improvements to physicians. Escalate issues as needed to practice and FGP Leadership.
- Communicate with, and train, coding and A/R vendors as it relates to various coding, reimbursements, billing processes, and collections.
- Work with front-end staff to ensure patient insurance information and benefits are verified accurately and timely. Act as a resource to front-end practice staff to identify gaps in financial clearance processes.
- Review and respond to practice, physician, and patient inquiries following CBO guidelines, payer rules, compliance regulations, and related rules.
- Serve as a resource to physicians, staff, and management regarding local and national coding and reimbursement policies.
- Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures. Train physicians, other staff, and management, as needed.
- Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality.
- Review unbilled charge reports and follow up with physicians and/or practice management for unbilled services.
- Meet CBO quality and productivity targets.
- Review practice Action Plans and/or reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on charges that require action.
- May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information.
- Take initiative to teach and share new information and provide constructive feedback. Communicate delays and work queue 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 the billing system. Review billing collection and denial reports and recommend changes on how to improve issues.
- Serve as a liaison to the 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 daily.
- 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 to maintain billing compliance and prevent denials.
- Identify denial trends and train practice staff to avoid denials in the future, emphasizing accurate charge capture, appropriate authorization review, etc. Develop supporting training documentation as needed with FGP management.
- 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.
Minimum Qualifications:
To qualify you must have a bachelor’s degree with a minimum of 3-5 years of relevant work experience or an equivalent combination of 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 a high level of accuracy in reviewing charge batch submissions, analyzing and correcting coding denials, and preparing, and presenting analyses.
Stays up to date with industry requirements.
Knowledge of medical terminology is required.
Familiar with standard office equipment.
Light, accurate keyboarding skills are required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered before onboarding.
Required Licenses: Outpatient Coder – Cert, Coding Spclst – Physician-Cert, Certified Professional Coder, Certified Coding Specialist
Preferred Qualifications:
Certified Coding Specialist Certification (CCS) Certified Coding Specialist- Physician-based (CCS-P) Certified Professional Coder (CPC), or Certified Outpatient Coding (COC) preferred.
NYU Langone Nevada 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 Nevada’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.
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.”