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    Revenue Cycle Specialist-Revenue Integrity - New York, United States - WCM-Q

    WCM-Q
    WCM-Q New York, United States

    2 weeks ago

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    Description

    Weill Cornell Medicine - Revenue Cycle Professional Job Opening

    Position Summary
    Remote position – Become a key member of the dedicated revenue cycle team at the Central Business Office (CBO) of Weill Cornell Medicine (WCM). Use your expertise as a Certified Professional Coder to investigate and address coding related insurance payment denials. The CBO collaborates with WCM Clinical Departments to enhance service revenue, reduce accounts receivable, and analyze denial trends for effective solutions, including clinical documentation improvement and coding denial prevention.
    Job Responsibilities
    • Conduct retrospective coding and documentation reviews of denied charges for physician services.
    • Analyze invalid denial trends and payer specific submission requirements.
    • Follow up extensively to investigate and resolve payment denial trends.
    • Utilize ancillary applications to resolve outstanding accounts.
    • Research and interpret payer contract terms for appeals process.
    • Ensure timely completion of denial reviews.
    • Maintain updated policies and procedures related to managed care and payors.
    • Participate in compliance training and provide training to new employees.
    • Perform other assigned duties.
    Education
    • High school diploma or GED in related field.
    Experience
    • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
    • 3-5 years of physician billing experience.
    • Prior experience with eMR systems and knowledge of medical terminology.
    • Experience with third-party reimbursement and proficiency in Microsoft Excel.
    Knowledge, Skills and Abilities
    • Proficient in CPT and ICD-10 CM coding guidelines.
    • Demonstrated critical thinking and analytical skills.
    • Strong computer skills and ability to follow coding guidelines.
    • Excellent interpersonal and communication skills.
    Licenses and Certifications
    • Certified Professional Coder Certificate (CPC) or Certified Coding Specialist (CCS).
    Working Conditions/Physical Demands
    Remote-based work with occasional onsite requirements. Must have a dedicated workspace for a healthy work environment.
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