Revenue Cycle Specialist Job at SB Clinical Practice Management
Overview:
Job Duties & Essential Functions:
In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes “continuously require all personnel to be fully vaccinated against COVID-19,” Candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order also includes those who may be affiliated with or interact with employees of a hospital or nursing home. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.
CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.
CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.
Practice Revenue Cycle Manager - Stony Brook OBGYN Associates, UFPC
Location: Stony Brook, NY
Schedule: Full Time
Days/Hours: Monday to Friday - 8:30am-5:00pm
Responsibilities:
SUMMARY: As the Department’s subject matter expert on billing/coding/documentation, the Manager/Director of Revenue Cycle will lead efforts to ensure accurate, appropriate, timely submission of claims; regularly provide education to providers and staff on correct coding and documentation; analyze payer trends; oversee day-today operations of billing and coding staff; and support operational initiatives supporting opportunities for continued financial strength.
Job Duties & Essential Functions:
- Oversee billing, coding and ambulatory authorization team for large academic clinical department and aligned community physicians ensuring that claims are reviewed for accuracy, are compliant with best coding practices and submitted timely
- Identify trends causing delays in claims submission and share information with key stake holders
- Prepare and present updated correct coding and documentation requirements to providers at regular intervals
- Liaison with Central Billing Office and Compliance Office to implement correct coding and or insurance specific claim edits that team will review/correct/release in timely manner
- Identify opportunities to enhance documentation
- Act as a resource with regards to coding policies and procedures to both staff and providers
- Prepare reports related to fiscal, operational, or patient care issues as directed by Department Administrator.
Required Education and Qualifications:
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician Based (CCS-P) certification
- Bachelor’s degree in business, healthcare or related field;
- 5+ years of experience as manager responsible for billing, coding, and revenue cycle.
- Ability to communicate with multiple stakeholders across the organization in a professional manner, including Physicians, Clinicians, Managers and Division Chiefs
- Excellent organizational and communication skills, and attention to detail
- Proficient use of Microsoft Excel
- Demonstrated proficiency of healthcare EMR/Practice Management system – Cerner and Centricity preferred
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management. The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.
In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes “continuously require all personnel to be fully vaccinated against COVID-19,” Candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order also includes those who may be affiliated with or interact with employees of a hospital or nursing home. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.
CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.
CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.
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