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Billing & Coding Manager

Columbia University New York, New York
billing manager billing compliance medical revenue revenue cycle cycle administration ophthalmology manager training procedures
February 21, 2023
Columbia University
New York, New York

+ Requisition no: 527159


+ Work Type: Full Time


+ Location: Campus|Medical Center


+ School/Department: null


+ Categories: General Administration,Administrative Support


+ Job Type: Officer of Administration


+ Bargaining Unit:


+ Regular/Temporary: Regular


+ End Date if Temporary:


+ Hours Per Week: 35


+ Salary Range:


Position Summary


The Department of Ophthalmology at Columbia University Irving Medical Center is seeking an experienced Certified Professional Coder as the Billing & Coding Manager in the Department. Reporting to the Director Revenue Cycle, the Billing & Coding Manager will provide coding, compliance and revenue cycle support to the physician practice.


Responsibilities


+ Provide coding support and training to the providers in the department to ensure compliance and correct coding. Assist in the development of training programs for the department to increase knowledge of the relationship between charge behavior, billing flow, and reimbursement.


+ Perform billing compliance audits for the department.


+ Perform ongoing analysis of medical records for compliance.


+ Assist with claim issues, including preparing coding appeals.


+ Research and respond to insurance coding requests.


+ Recommend and take action to direct and analyze solutions of revenue cycle problems.


+ Assist in developing policies and procedures related to coding, denials and charge corrections.


+ Generate reports to monitor/analyze the types of errors and their frequency.


+ Review and analyze denials and reach out to payers in an attempt to settle accounts.


+ Responsible for resolving edits on high dollar accounts and non-covered procedures.


+ Responsible for reconciliation reports.


+ Performs other duties as assigned.


Minimum Qualifications


+ Bachelor’s degree or equivalent in education and experience plus three to five years of related experience.


+ CPC required.


+ Excellent interpersonal, verbal, and written communication skills.


+ Must be a motivated individual with a positive attitude and exceptional work ethic.


+ Ability to follow through, work independently, and handle tasks simultaneously.


+ Ability to set priorities and exercise appropriate judgment.


+ Excellent problem solving skills and the ability to handle multiple tasks and follow through on the completion of projects in a timely manner is essential.


+ Functional knowledge of basic computer operation and keyboard functions.


+ Well versed in the following applications: Microsoft Word, Outlook, and Excel


Preferred Qualifications


+ Ophthalmology experience preferred


+ Epic experience preferred


Equal Opportunity Employer / Disability / Veteran


Columbia University is committed to the hiring of qualified local residents.



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