Faculty Group Practice Billing Coordinator I - **Ortho/Manhattan**
Company: NYU Langone Health
Location: New York
Posted on: October 11, 2024
Job Description:
Faculty Group Practice Billing Coordinator I -
Ortho/ManhattanPosition Summary:We have an exciting opportunity to
join our team as a Faculty Group Practice Billing Coordinator I -
Ortho/Manhattan.In this role, the successful candidate will be
responsible for coordinating all aspects of coding review, claim
submission, charge reconciliation, and follow-up on claims denied
for coding-related reasons for various specialties and providers.
He/she will 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.Job
Responsibilities:
- Monitor reports and assigned work queues ensuring coding,
charge submission, and accounts receivable follow-up is occurring
on a timely basis.
- Perform charge reconciliation to validate all revenue is
captured.
- Review unbilled charge reports and follow up with physicians
and/or practice management for unbilled services.
- Identify coding or documentation issues and suggest
improvements to physicians. Escalate issues as needed to practice
and FGP Leadership.
- 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.
- Meets CBO quality and productivity targets.
- 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.
- 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.Patient Experience and Access:
- Serves as NYU Langone Health Faculty Group Practice Brand
Ambassador by upholding the NYULH Mission, vision, and values and
promoting excellence in the patient experience during every
encounter.
- Drives consistency in every patient and colleague encounter by
embodying the core principles of our FGP Service Strategy: CARES
(Connect, Align, Respond, Ensure, and Sign Off).
- Greets patients warmly and professionally stating name and role
and clearly communicates each step of the care/interaction as
appropriate.
- Works collaboratively with colleagues and site management to
ensure a positive experience and timely resolution for all patient
interactions and inquiries, whether in person, by phone, or via
electronic messaging.
- Proactively anticipates patient needs and participates in
service recovery by applying the LEARN model (Listen, Empathize,
Apologize, Resolve, Notify) and escalates to leadership as
appropriate.
- Shares ideas or any observed areas of opportunity to improve
patient experience and patient access with appropriate leadership
(i.e., ways to optimize provider schedules, how to minimize delays,
increase employee engagement, etc.).
- Partners with Patient Access Center and Central Billing Office
team members to support collaboration and promote a positive
patient experience.
- Takes a proactive approach in ensuring that practice staff are
fully versed in the Access Agreement gold standard
principles.Minimum Qualifications:To qualify you must have a
Bachelor's degree or equivalent combination of training and
relevant work experience OR High School Diploma and the successful
completion of the NYU Langone Health Coding Program. Ability to
multi-task 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 for reviewing charge batch submissions,
preparing, and presenting analyses. Stays up to date with industry
requirements. Knowledge of medical terminology required. Familiar
with standard office equipment.Preferred Qualifications:Certified
Coding Specialist Certification (CCS) or Certified Coding
Specialist Physician-based (CCS-P) or Certified Professional Coder
(CPC) or Certified Outpatient Coding (COC) preferred.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.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 $62,400.00 - $63,600.00 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.
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Keywords: NYU Langone Health, Milford , Faculty Group Practice Billing Coordinator I - **Ortho/Manhattan**, Accounting, Auditing , New York, Connecticut
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