Coding Integrity Specialist - Boynton Beach, Florida

NYU Langone Health • Boynton Beach, FL

7h • Onsite

About The Position

We have an exciting opportunity to join our team as a Coding Integrity Specialist. In this role, the successful candidate Reports to the Coding Quality Manager.

Requirements

• Bachelor's degree
• 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.
• Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC).
• Light, accurate keyboarding skills required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding..
• Qualified candidates must be able to effectively communicate with all levels of the organization.

Responsibilities

• 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.

Benefits

• financial security benefits
• a generous time-off program
• employee resources groups for peer support
• holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level