Billing Compliance Liaison

Title: Billing Compliance Liaison

Location: Midtown

Org Unit: Neurological Surgery

Work Days:

Weekly Hours: 35.00

Exemption Status: Exempt

Salary Range: $73,000.00 - $82,700.00

As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Under general direction, monitors, reviews and guides the coding activities of WCM provider staff in accordance with the College’s Professional Billing Compliance Plan, including Research Compliance. This position also documents findings and shares these results with physicians and department leadership. This role also manages Compliance Orientation and access to programs for both faculty and staff in all aspects of Compliance.

Job Responsibilities

Conducts prospective and retrospective compliance documentation audits in the PO and research. Maintains integrity of electronic/hard copy files/databases. Tracks/trends results of audits. Reports statistics of Compliance Program to senior leadership.
Analyzes physician coding patterns and other documentation utilizing electronic databases. Monitors coding and medical record documentation compliance with federal and state regulations. Educates clinical staff and providers on compliant coding.
Manages new employee/faculty orientation and training for department billing, research, and compliance purposes. Works with applicable systems to gain appropriate access for clinicians and staff. Notifies staff of upcoming compliance training dates.
Serves as a liaison for the CPO, IRB, JCTO, and HRC for both clinical and research compliance efforts.
Develops and maintains a Clinical Research Compliance Program to conduct internal audits to ensure research is conducted ethically, safely, legally and in compliance with the protocol and institutional IRB policies and procedures.
Researches and educates providers on appropriate coding for provider specialty.
Trains as necessary on coding/documentation changes implemented internally and by insurance carriers.
Monitors effectiveness of corrective action plans.
Evaluates current compliance plan, makes recommendations for changes, and implements and executes new policies and procedures.
Works with the department billing staff to ensure compliance with WCM Professional Billing Compliance Plan and adherence to appropriate coding; guides billing staff to make necessary corrections and release charges.
Maintains up-to-date knowledge of ICD and Coding Regulations. Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
Identifies trends in revenue cycle activities, including payments, denials, billing, coding and/or documentation errors. Recommends actions plans to address deficiencies. Monitors implementation of corrective action plans.

Education

Bachelor's Degree

Experience

Approximately 2-3 years of experience in medical records and/or physician billing.

Approximately 1-2 years of experience as medical coder.

Knowledge, Skills and Abilities

Demonstrated knowledge of professional billing, including physician billing, reimbursement, and carrier relations.
Demonstrated knowledge of third party reimbursement.

Licenses and Certifications

Certified Professional Coder Certificate (CPC)

Working Conditions/Physical Demands

Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.

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