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Manager-Clinical RMD Auditing. Job in New York FOX8 Jobs

New York
Job Type
10 Jun 2022

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations , a children's hospital , three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center , a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine , which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to  , and interact with us on  LinkedIn Glassdoor Indeed ,  Facebook Twitter YouTube  and  Instagram .

Position Summary:
We have an exciting opportunity to join our team as a Manager-Clinical RMD Auditing.

In this role, the successful candidate as the Manager will support the Revenue Management Initiatives (RMI) department through the identification and execution of special projects identifying areas of increased net revenue opportunities. The Manager will have direct supervisory responsibilities of Clinical Charge Auditors to include managing day to day activities, monitoring work flow and volume, and providing guidance and coaching. Responsible for execution of charge capture performance improvement initiatives in conjunction with clinical departments, as well as creating and delivering charge capture training as required. The Manager is responsible for ensuring quality assurance of clinical chart audits and coding reviews. This position reports directly to the Associate Director, RMI.

Job Responsibilities:

    • Monitors staff attendance and punctuality on a regular basis and maintains timekeeping system for staff. Maintains records of staff attendance for all mandatory training sessions. Counsels employees when performance does not meet standard in an effort to improve the areas of deficiency before disciplinary action is required. Performs assigned duties efficiently and participates in other related duties as required.
    • Develops criteria for quality assurance reviews and metrics for monthly monitoring and reporting.
    • Provides consistent and constructive feedback to the charge and code based auditors in order build knowledge and understanding. Develops and provides training on identified areas of concern or new areas for charge capture opportunity.
    • Oversees that charge capture protocols are up to date and accurately reflect charging practices of clinical areas. Researches and mitigates discrepancies in charging practices in conjunction with the auditor.
    • Routinely reviews data to make monthly observations and recommendations in order to prevent future revenue losses. Prepares reports and executive summaries as required by management regarding audit results, process improvement recommendations, and systemic billing errors.
    • Coordinates with and assists performance improvement projects and auditors in developing and implementing process improvement projects to include but not limited to; consulting with clinical departments, data gathering, preparation and delivery of presentations.
    • Investigates and documents any potential for new programs and product development. The Manager is responsible for staying abreast of charge capture opportunities and developing and implementing new projects for compliance and revenue enhancing initiatives.
    • Assists with developing departmental program planning, strategy, and goals for increased revenue reimbursement.
    • Performs data collection, tracking and analytical duties to respond to key issues, increase reimbursement and process efficiency and in support of the decision making process of leadership from multidisciplinary perspectives.
    • Manages relationship with Quality Assurance vendor.
    • Gains knowledge and is familiar with chart audit process across multiple service areas.
    • Assists in the development of training materials as needed.
    • Develops and maintains productivity standards for areas of direct responsibility and monitors adherence to those standards. Provides coaching and feedback to staff in areas of responsibility and completes probationary and annual performance appraisals for staff.
    • Interviews prospective employees and makes recommendations as to their abilities and the needs of the department.
    • Coordinates the onboarding of newly hired team members.

Minimum Qualifications:
To qualify you must have a 1. Bachelors degree (or equivalent) in a Healthcare related field, Finance, Management or related field, and a minimum of 5 years of related experience, or an equivalent combination of education and work experience.
2. Personnel management/supervision experience required. 3. Previous auditing, project management, or nursing experience is preferred.
4. Strong interpersonal, communication, organizational, and analytical skills are required.
5. Skilled with PCs, Microsoft Word, Outlook, & Excel.
6. Experience with electronic health record documentation and Revenue Cycle software applications, such as EPIC enterprise system.
7. Familiar with functions of hospital billing and Revenue Cycle Operations.
8. Knowledge of CPT and ICD-10 coding preferred.9. Familiarity with insurance terms (i.e. HMO/PPO, EOB, stop loss, etc.) is preferred.
10. Knowledge of regulatory agencies requirements (CMS, Medicare, & Medicaid) is preferred.
11. Ability to understand hospital bills, hospital charge master, and ancillary department functions.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health 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 Langone Health 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 Langone Health's EEO policies, please click here . Please click here to view the Federal "EEO is the law" poster or visit .htm for more information. To view the Pay Transparency Notice, please click here .

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  • Job Reference: 620989859-2
  • Date Posted: 10 June 2022
  • Recruiter: NYU Langone Health
  • Location: New York
  • Salary: On Application
  • Sector: Accounting
  • Job Type: Permanent