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, Brick , Faculty Group Practice Billing Coordinator I - **Ortho/Manhattan**, Accounting, Auditing , New York, New Jersey