Coding Auditor-Revenue Management Specialist
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. 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.
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, are also part of NYU Langone Health.
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.
Position Summary:
We have an exciting opportunity to join our team as a Coding Auditor-Revenue Management. In this role, the successful candidate will perform 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.
Key Responsibilities:
- Perform 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.
- Review all related documents and identifies clerical interpretation and record errors and adjusts incorrect items and/or services.
- Defend facility charging and coding practices during focused audits.
- Follow 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.
- Review 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.
- 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 interdepartmental 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 charge practices 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 Bachelor's Degree in a health-related field, Accounting, or Finance, Active Coding Certification/Credentials with two 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, 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 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 $67,500.00 - $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.
-
Coding Auditor
3 weeks ago
New York, New York, United States NYULMC Full timeJob Title: Coding Auditor - Revenue Management Specialist 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...
-
Certified Medical Coding Specialist
3 weeks ago
New York, New York, United States Revenue Cycle Coding Strategies, LLC Full timeJob SummaryRevenue Cycle Coding Strategies, LLC is seeking a skilled Certified Medical Coding Specialist to join our team. As a key member of our coding team, you will be responsible for abstracting E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from medical records. Your expertise will ensure accurate coding, compliance with federal and state laws, and...
-
Coding Auditor-Revenue Management Specialist
3 weeks ago
New York, New York, United States NYU Langone Health Full timeJob SummaryWe are seeking a highly skilled Coding Auditor-Revenue Management professional to join our team at NYU Langone Health. As a key member of our revenue cycle team, you will be responsible for ensuring the accuracy and integrity of our medical coding and charging practices.Key ResponsibilitiesPerform detailed audits of medical cases to ensure...
-
Coding Auditor-Revenue Management Specialist
4 weeks ago
New York, New York, United States NYULMC Full timeJob Summary:We are seeking a highly skilled Coding Auditor-Revenue Management to join our team at NYU Langone Health. The successful candidate will be responsible for performing detailed audits of medical cases to ensure accuracy of assigned charge codes, prices, and availability of documented medical records. The ideal candidate will have a strong...
-
Coding Auditor-Revenue Management Specialist
3 weeks ago
New York, New York, United States NYULMC Full timeJob Summary:We are seeking a skilled Coding Auditor-Revenue Management to join our team at NYU Langone Health. In this role, you will perform detailed audits of medical cases to ensure accuracy of assigned charge codes, prices, and availability of documented medical records. You will also compare cases with itemized bills and overall procedures.Key...
-
Medical Coding Auditor
3 weeks ago
New York, New York, United States Happier People Management Full timeJob Summary: We are seeking a highly skilled Medical Coding Auditor to join our team at Happier People Management. As a Medical Coding Auditor, you will be responsible for coordinating, attending, and auditing counts during physical inventories, as well as performing daily cycle counts of merchandise, date-code audits, asset cycle counts, and internal...
-
Inpatient Coding Specialist
3 weeks ago
New York, New York, United States Tufts Corporate Full timeJob SummaryThis role focuses on activities related to revenue cycle operations, including billing, collections, and payment processing. In addition, this role involves performing Health Information Management duties, such as ensuring the accuracy, maintenance, security, and confidentiality of patient health information.Key ResponsibilitiesVerify and abstract...
-
Revenue Cycle Specialist-Revenue Integrity
3 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeRevenue Cycle Specialist-Revenue Integrity Job DescriptionWe are seeking a highly skilled Revenue Cycle Specialist-Revenue Integrity to join our team at Weill Cornell Medicine. The successful candidate will be responsible for investigating and resolving coding-related insurance payment denials, working closely with our Clinical Departments to increase and...
-
Revenue Cycle Specialist
3 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeJob Title: Revenue Cycle Specialist - Revenue IntegrityLocation: RemoteJob Summary: We are seeking a skilled Revenue Cycle Specialist to join our team at Weill Cornell Medicine. The successful candidate will be responsible for investigating and resolving coding-related insurance payment denials, working closely with our clinical departments to increase and...
-
Inpatient Coding Specialist
3 weeks ago
New York, New York, United States Tufts Medicine Full timeJob SummaryThis role focuses on activities related to revenue cycle operations, including billing, collections, and payment processing. Additionally, this position involves performing Health Information Management duties, such as ensuring the accuracy, maintenance, security, and confidentiality of patient health information.Key ResponsibilitiesReviews...
-
Medical Coding Auditor, SIU Specialist
4 weeks ago
New York, New York, United States Oscar Health Full timeJob SummaryOscar Health is seeking a Medical Coding Auditor, SIU to join our team. As a key member of our SIU team, you will play a critical role in assessing trends and patterns in FWA across the healthcare industry.The ideal candidate will have a strong background in coding and auditing, with experience in multiple specialties. You will be responsible for...
-
Medical Coding Specialist
4 weeks ago
New York, New York, United States Mount Sinai Hospital Full timeJob SummaryWe are seeking a highly skilled Medical Coding Specialist to join our team at Mount Sinai Hospital. The successful candidate will be responsible for ensuring accurate and complete capture of revenue through effective coding and documentation practices.Key ResponsibilitiesImplement and manage outpatient and provider coding processes for inpatient...
-
Medical Coding Specialist
3 weeks ago
New York, New York, United States SAIC Full timeJob Title: Medical Coding SpecialistJob Summary:SAIC is seeking a Medical Coding Specialist to provide remote medical coding support to government Medical Treatment Facilities assigned under the Defense Health Agency (DHA) Medical Coding Program Branch.Responsibilities:Provide remote medical coding support to government Medical Treatment FacilitiesWork with...
-
Revenue Cycle Specialist
3 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeKey Responsibilities:As a Revenue Cycle Specialist - Revenue Integrity at Weill Cornell Medicine, you will be responsible for investigating and resolving coding-related insurance payment denials. You will work with our Clinical Departments to increase and expedite service revenue, reduce aged accounts receivable, and trend denials for their root...
-
Revenue Cycle Specialist
3 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeJob SummaryWe are seeking a skilled Revenue Cycle Specialist - Revenue Integrity to join our team at Weill Cornell Medicine. As a key member of our Central Business Office, you will play a critical role in investigating and resolving coding-related insurance payment denials. Key Responsibilities• Perform retrospective coding and documentation review of...
-
Inventory Auditor
4 weeks ago
New York, New York, United States Happier People Management Full timeJob OverviewHappier People Management is seeking a highly skilled Inventory Auditor to join our team. As an Inventory Auditor, you will be responsible for ensuring the accuracy and integrity of our inventory management system.Key ResponsibilitiesConduct physical inventories and audits to ensure accuracy and completeness of inventory records.Perform daily...
-
Revenue Accounting Manager
3 weeks ago
New York, New York, United States Identified Talent Solutions Full timeJob Title: Accounting ManagerJob Summary: We are seeking a highly skilled Accounting Manager to lead our revenue accounting functions and ensure the integrity of financial reporting. The ideal candidate will have a strong background in revenue accounting, excellent analytical skills, and the ability to thrive in a fast-paced environment.Key...
-
Revenue Cycle Operations Specialist
3 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Operations Specialist to join our team at NYC Health + Hospitals. This role will be responsible for monitoring the performance of revenue cycle results, identifying trends and gaps, and providing analytic support to improve revenue cycle processes.Key ResponsibilitiesMonitor key operating indicators...
-
Coding Specialist
3 weeks ago
New York, New York, United States TriCore Reference Laboratories Full timeWe are seeking a skilled Coding Specialist to join our team at TriCore Reference Laboratories. As a Coding Specialist, you will play a critical role in ensuring the accuracy and integrity of our coding processes.Key Responsibilities:Assign ICD10-CM codes and modifiers to laboratory tests based on supporting documentation.Provide documentation and...
-
Senior Coding Specialist
3 weeks ago
New York, New York, United States Houston Methodist Full timeClinical Coding Specialist Job DescriptionHouston Methodist is seeking a skilled Clinical Coding Specialist to join our team. As a Clinical Coding Specialist, you will be responsible for applying correct coding conventions to patient charge encounters in a clinical environment.This role involves abstracting diagnosis and procedural services from the...
