Billing Compliance Manager CPC /
Org Unit: Administration
Exemption Status: Exempt
Oversees physician billing activity for compliance, including analysis of
compliance reviews and corrective action plans.
*Monitors coding and medical record documentation compliance with federal
and state regulations. Educates clinical staff and providers on compliant
coding for maximum revenue.
*Designs audit tools and methodology for conducting audits. Conducts
prospective and retrospective compliance documentation audits. Maintains
integrity of electronic and hard copy files and databases.
*Designs audit tools and methodology for conducting audits.
*Monitors implementation of corrective action plans.
*Analyzes billing processes to identify potential billing risks and/or
*Maintains electronic and hard copy files and databases. Maintains
integrity of information.
*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.
*Tracks and trends results of audits. Prepares and presents reports on
*Bachelor's Degree in related field
*Approximately 5 years of experience in medical coding and/or physician
billing Approximately 3 years of experience as medical coder
Skills and Abilities
*Demonstrated knowledge of professional billing, including physician
billing, reimbursement, and carrier relations.
*Demonstrated knowledge of third party reimbursement.
*Certified Professional Coder Certificate (CPC)
*Standard office work
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Weill Cornell Medicine is a comprehensive academic medical center that's
committed to excellence in patient care, scientific discovery, and the
education of future physicians in New York City and around the world. Our
doctors and scientists-faculty from Weill Cornell Medical College, Weill
Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician
Organization-are engaged in world-class clinical care and cutting-edge research
that connect patients to the latest treatment innovations and prevention
strategies. Located in the heart of the Upper East Side's scientific corridor,
Weill Cornell Medicine's powerful network of collaborators extends to its
parent university Cornell University; to Qatar, where an international campus
offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil,
Austria and Turkey. Our medical practices serve communities throughout New York
City, and our faculty provide comprehensive care at NewYork-Presbyterian
Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan
Hospital, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work
together to treat each individual, not just their conditions or illnesses, as
we strive to deliver the finest possible care for our patients - the center of
everything we do. Weill Cornell Medicine is an Equal Employment Opportunity
Employer. Weill Cornell Medicine provides equal employment opportunities to all
qualified applicants without regard to race, sex, sexual orientation, gender
identity, national origin, color, age, religion, protected veteran or
disability status, or genetic information.
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