Revenue Cycle Compliance Manager, OBH
2 weeks ago
The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to third party payers. The audits will determine whether billed services provided to patients are consistent with medical record documentation and in accordance with the
appropriate third party billing regulations and standards. The position reports to the OBHS Chief Compliance Officer.
Responsibilities:
Maintains a thorough understanding of CPT, ICD-10-CM, and HCPCS coding principles, governmental regulations and third party guidelines regarding documentation and/or billing compliance.
Conduct audits and prepare and maintain audit work papers and audit reports; prepare recommendations for improvement and communicate compliance audit findings and recommendations to department management’s development of corrective action plans.
Act as a resource for Compliance staff and other departments for designing and providing specialized training.
Perform specialized case assignments, documentation reviews, and reviews of policy and documentation guidelines.
Proactively develop and maintain a close working relationship with the Coding, Billing and Reimbursement staff to assure that documentation issues, pattern and/or trends are identified, prevented and addressed by corrective action and compliance education in a timely manner.
Track corrective action plans for completion and conduct follow-up with management as needed to foster successful completion and achieve compliance.
Develop periodic revenue cycle compliance reports of auditing and monitoring activities, findings, risk levels, recommendations, status or corrective action plans, and outcomes.
Collaborate with appropriate personnel for the development, review, and implementation of compliance-related policies, procedures, education, or workflows relating to clinical, billing, coding or other business activities pertinent to the Compliance Program.
Assist in the drafting of self-reporting disclosure letters to government agencies or payers.
Create monthly refund reports for Billing Compliance to ensure inadequate payments received are refunded to the appropriate carriers.
Remain current with new rules, regulations, and revisions, as set forth by CMS and other entities regarding Billing Compliance. Develop training and education sessions for Billing Compliance.
Perform other duties as assigned.
Qualifications:
Education:
• Bachelor’s Degree in in Healthcare Finance/Business or a related field.
Experience:
• 4+ years of experience in regulatory and/or compliance in a healthcare setting is required in
understanding and implementing government regulations.
Certification:
• CHC Certification or other Coding Certification, (e.g., CCS, CPC, etc.)
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions without compromising patient care.
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health System (OBHS), and Interfaith Medical Center (IMC).
One Brooklyn Health System (OBHS), and Interfaith Medical Center are an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other
characteristics protected by applicable federal, state, or local laws.
-
Revenue Cycle Compliance Manager
2 weeks ago
Brooklyn, United States One Brooklyn Health Full timeOverview:The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to...
-
Revenue Cycle Compliance Manager
2 weeks ago
Brooklyn, United States One Brooklyn Health Full timeOverview:The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to...
-
Director of Revenue Cycle Management
4 weeks ago
New York, United States Encore Support Services Full timeCompany DescriptionEncore Support Services is a provider of special education, behavioral health, and related services for children across multiple states. With a focus on individualized care, our proprietary approach combines therapy and technology to support child progress. We celebrate each child's achievements and empower them to reach their fullest...
-
Director of Revenue Cycle Management
3 weeks ago
New York, United States Encore Support Services Full timeCompany DescriptionEncore Support Services is a provider of special education, behavioral health, and related services for children across multiple states. With a focus on individualized care, our proprietary approach combines therapy and technology to support child progress. We celebrate each child's achievements and empower them to reach their fullest...
-
Director of Revenue Cycle Management
2 weeks ago
New York, United States Encore Support Services Full timeCompany DescriptionEncore Support Services is a provider of special education, behavioral health, and related services for children across multiple states. With a focus on individualized care, our proprietary approach combines therapy and technology to support child progress. We celebrate each child's achievements and empower them to reach their fullest...
-
Director of Revenue Cycle Management
3 weeks ago
New York, United States Encore Support Services Full timeCompany Description Encore Support Services is a provider of special education, behavioral health, and related services for children across multiple states. With a focus on individualized care, our proprietary approach combines therapy and technology to support child progress. We celebrate each child's achievements and empower them to reach their fullest...
-
Director of Revenue Cycle Management
7 days ago
New York, United States Encore Support Services Full timeCompany Description Encore Support Services is a provider of special education, behavioral health, and related services for children across multiple states. With a focus on individualized care, our proprietary approach combines therapy and technology to support child progress. We celebrate each child's achievements and empower them to reach their fullest...
-
Director, Revenue Cycle
4 weeks ago
New York, United States Columbia University Full timeJob Type: Officer of Administration - Bargaining Unit: - Regular/Temporary: Regular - End Date if Temporary: - Hours Per Week: 35 - Standard Work Schedule: - Building: - Salary Range: 150,000-180,000 - The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets,...
-
Revenue Cycle Manager
19 hours ago
New York, United States Walnut Full timeCompany Description Walnut is building the future of healthcare payments. We are building financial infrastructure for healthcare to make healthcare payments instant, accurate, and transparent. We make moving money through the healthcare system as easy and programmable as moving data. Walnut is building new rails for healthcare payment data transmission a...
-
Revenue Cycle Manager
16 hours ago
New York, United States Walnut Full timeCompany DescriptionWalnut is building the future of healthcare payments. We are building financial infrastructure for healthcare to make healthcare payments instant, accurate, and transparent. We make moving money through the healthcare system as easy and programmable as moving data. Walnut is building new rails for healthcare payment data transmission – a...
-
Revenue Cycle/Operations Specialist
4 weeks ago
Brooklyn, United States NYC Health + Hospitals Full timeAbout NYC Health + Hospitals:Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital....
-
Revenue Cycle/Operations Specialist
1 week ago
Brooklyn, United States NYC Health + Hospitals Full timeAbout NYC Health + Hospitals: Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital....
-
Revenue Cycle/Operations Specialist
4 weeks ago
Brooklyn, United States NYC Health + Hospitals Full timeAbout NYC Health + Hospitals:Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital....
-
Revenue Cycle/Operations Specialist
3 weeks ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
Revenue Cycle/Operations Specialist
2 weeks ago
New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
-
New York, New York, United States CureMD Full timeAbout Us:CureMD excels in providing advanced tools and technologies that empower healthcare professionals to make informed decisions about patient care. Our state-of-the-art solutions harness the power of data analytics, artificial intelligence, and machine learning to analyze patient information, decipher patterns, and render actionable insights. These...
-
Revenue Cycle Specialist
7 days ago
New York, United States Jayestech LLC Full time**Duties**: - member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient Financial Services operations and other...
-
Director, System Revenue Cycle
1 day ago
New York, United States Houston Methodist Full timeAt Houston Methodist, the Director System Revenue Cycle position is responsible for setting strategic goals and directing operations at the system level for multiple functions of Revenue Cycle, to include areas such as insurance billing, collections, patient account resolution, appeals/denials, customer service, cash applications, etc. This position is also...
-
Revenue Cycle Manager, Provider
18 hours ago
New York, United States HealthSearch Group Full timeRevenue Cycle Manager, Provider & Client Relations Join an organization that is leading in physician billing and other support services The Revenue Cycle Manager will be the direct contact for questions, inquiries, custom reports, and support for budget time etc. We are seeking an Executive presence, analytical skills, strong acumen and communication skills,...
-
Revenue Cycle Associate
1 month ago
Brooklyn, United States CARES Full timeThe mission of CARES (Community Assistance Resources and Extended Services, Inc.) is to assist children and adults with intellectual/developmental disabilities (ID/DD) and/or mental health conditions and their families, in particular, from under-served multilingual communities, access information, obtain resources and services. **Salary Range**:$50-55k...
