Coding Compliance Educator

NYU Langone Health • Vestal, NY

2d • $28 - $42

About The Position

The Coding and Compliance Analyst, PT & Rehab is responsible for ensuring accurate coding, billing compliance and documentation integrity across physical therapy and rehab clinical services. Coordinates activities to monitor provider documentation for accuracy, regulatory adherence, and proper billing. Researches and responds to inquiries regarding coding and documentation compliance. Develops educational materials and delivers training sessions to address new requirements, regulatory changes and identified risk areas. Collaborates with leadership to identify performance trends and regulatory focus areas, implementing targeted education to mitigate compliance risks. Supports professional development initiatives across all Physical Therapy and Rehabilitation specialties.

Requirements

• Associates Degree in Applied Science in related field
• Experience with Auditing and Charting
• NYS Physical Therapy Assistant or eligible or NYS Physical Therapist or eligible or NYS Occupational Therapist or eligible

Nice To Haves

• Associate or Bachelor’s degree in Health Information Management, Healthcare Administration, Physical Therapy Assistant , or related field

Responsibilities

• Assess coding accuracy and compliance with policies and procedures; identify areas of potential risk.
• Perform and review provider audits; prepare summary reports for the Director of Quality Assurance and Compliance and submit for review to the UHS Compliance Committee.
• Collaborate with Physician Billing Services, Revenue Cycle, Insurance and Customer Service Representatives, Supervisors, Site Managers, Compliance teams, Denials teams and Internal Auditing to resolve billing and coding issues.
• Maintain in-depth knowledge of physical therapy and rehabilitation regulations related to revenue cycle processes, documentation standards, payer requirements, and reimbursement impacts for all payor plans.
• Research coding issues using medical reference resources; ensure compliance with payment and reimbursement systems.
• Analyze coding-related denials, edits, and charges to identify deficiencies, optimize coding practices, and prevent non-compliant behaviors.
• Review bell curve reports and financial data to detect coding variations, insufficient documentation, or missed revenue opportunities.
• Act as a resource for PT and Rehab Supervisors, Managers, Directors and Physician Practice leadership.
• Maintain current knowledge of CPT and ICD-10 coding principles, payer guidelines, and legislative changes as it relates to Physical Therapy and Rehabilitation services.
• Provide ongoing education to UHS providers to ensure compliance and optimize reimbursement.
• Represent UHS PT & Rehab in on-site meetings, delivering training and support for new and established providers.

Benefits

• We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week.
• With flexible plan options and coverage tiers, you can choose what fits your life best.
• Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection.
• From day one, PTO starts accruing so you can take time to recharge.
• We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards.
• When life gets tough, we’re here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet.
• With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees