Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Patient Financial Services - Req. 2347080
Job Title: Revenue Cycle Specialist
Roles & Responsibilities:
Responsible for reviewing and maintaining CDM, ensuring all data elements are accurate and comply with all payors requirements. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.
Maintains CDM (Charge Description Master) and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor and regulatory requirements.
- Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate to minimize misbillings.
- Resolves issues that arise from information submitted and revenue cycle issues.
- Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.
- Provides training and mentorship to specific revenue producing departments.
Associates Degree. Bachelor’s degree preferred. Coding certificate/licensure preferred.
2 years of experience in medical practice/outpatient coding and /or medical practice business office or patient accounts experience is preferred. Understanding of CPTs, HCPCS, APCs, DRGs and OPPS required.
Must have strong understanding of Medicare, Medicaid and third party payor rules and regulations and thorough knowledge of UB-92 data element requirements.
Excellent analytical, problem solving, and interpersonal and communication skills.
Must be able to work independently and on a team.
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.