Under the direction and supervision of the Manager of YM Coding and Billing services or his/her designee, this position is responsible for processes to monitor the efficiency and accuracy of capturing, coding and processing all billable services for YM. Document, implement and monitor policies and operational workflows to streamline and optimize charge capture, ensuring accuracy and timeliness. Develop and monitor reports to assure compliance with established YM guidelines. Serves as a liaison and fosters collaboration among the clinical departments, revenue cycle services and compliance departments on all aspects of coding and billing, education and charge follow-up. Serves as expert resource for coders.
Posting Position Title: Clinical Practice Specialist 3
University Job Title: Coding & Billing Analyst
Work Week: Standard (M-F equal number of hours per day)
Required Skill/ability 1: Extensive knowledge of CPT, ICD-10 and HCPCS codes and medical terminology. Excellent working knowledge of medical office/hospital systems, medical record management software (EPIC preferred), encoders, Outlook and Microsoft Office applications, along with business intelligence reporting tools. Working knowledge of HIPAA regulations and impacts on operations.
Required Skill/ability 2: Demonstrated technical knowledge of medical insurance billing procedures, third-party reimbursement methodologies and documentation/compliance requirements for physicians in an academic medical setting. Working knowledge of government and commercial insurance rules and regulations pertaining to correct coding initiatives.
Required Skill/ability 3: Demonstrated problem-solving ability using various investigative techniques to arrive at resolution. Ability to compile comprehensive analysis of data with complex and professional reporting of results. Ability to analyze and interpret detailed reports, develop clear conclusions and summarize findings.
Required Skill/ability 4: Ability to work independently and prioritize work with minimal supervision as well as part of a cross-functional team to achieve common goals. Ability to work, plan, research and conduct projects with minimal supervision. Ability to work in a stressful environment meeting timely deadlines and achieving goals.
Required Skill/ability 5: Demonstrates a high level of integrity and innovative thinking, and actively contributes to the success of the organization. Excellent interpersonal and communication skills demonstrating a high degree of professionalism, diplomacy and accountability. Superior oral and written communication skills. Demonstration of progressively responsible growth in the field.
Preferred Education, Experience and Skills: AAPC (CPC) certification.
Required Licenses Or Certifications:
Bachelor's Degree in Health Care Administration or RN and five years of related work experience or an equivalent combination of education and experience.
Internal Number: 47907BR
About Yale University
Yale University is an American private Ivy League research university located in New Haven, Connecticut. Founded in 1701 in the Colony of Connecticut, the university is the third-oldest institution of higher education in the United States.