Central Billing Office - Coding Integrity Specialist *Onsite - Boynton Beach, FL*

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• Perform other duties as needed.
• Objectively review and Audit clinical documentation, CPT-4, HCPCS, modifiers and ICD-10 coding to ensure accurate reimbursement and compliance with CMS and third party payer laws and regulations.
• Develops complete reports reflecting audit findings including negative and positive trends. Reports findings to leadership and follows through as directed.
• Effectively and professionally communicate complex information in both oral and written format in a way that is understandable to the audience.
• Provide professional coding, billing, and compliance guidance/education to offshore coding teams.
• Independently analyze and weigh the risks verses benefits in decisions and recommendations related to provider billing and bill audit issues.
• Promptly report any and all potential compliance issues to leadership and the Director of Compliance if necessary.
• Research and update new and/or revised coding and compliance standards utilizing multiple government resources including: CMS, AMA, OIG, etc.
• Assist in the development of coding policies and procedures.
• Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
• Apply critical thinking, negotiation and conflict resolution skills.
• Maintain collaborative relationships with internal and external teams to ensure integration and alignment of department priorities.
• Effectively use various computer applications to conduct research, create reports and presentation material.
• Assist with special projects on as-needed basis.
• Prepares and presents coding materials at revenue cycle meetings.
  
  Minimum Qualifications:
  
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  • To qualify you must have a Bachelor's degree and 4-6 years of auditing and revenue cycle management experience in a healthcare environment.
  • Extensive knowledge of coding principles and guidelines.
  • Knowledge of RAC process including targeted coding areas.
  • Extensive knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.
  • Knowledge of Electronic Medical Records.
  • Proficient in Microsoft Office applications: Word, Excel and Powerpoint and others as required
  • Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals.
  • Excellent organizational and project management skills.
  • Strong time management, attention to detail, and follow through.
  • Well-developed research skills.
  • Strong knowledge of revenue cycle process, revenue integrity and its impact throughout the revenue cycle.
  • Required Licensure/Certification skills: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), or Certified Outpatient Coding (COC).
    Required Licenses: Outpatient Coder - Cert, or Coding Spclst - Physician-Cert, or Certified Coding SpecialistNYU Grossman School of Medicine 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 Grossman School of Medicine 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 Grossman School of Medicine's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

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