Coding Auditor
3 weeks ago
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education.
We have an exciting opportunity to join our team as a Coding Auditor - Revenue Management Specialist.
Key Responsibilities:
- Performs and participates in 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.
- Creates/updates and/or maintains charge protocol manuals for each service area reviewed.
- Documents results of all special project work and provides recommendations for revenue managing opportunities and process improvement initiatives relating to special projects.
Requirements:
- Bachelor's Degree in a 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-10-CM/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.
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.
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