Specialist Outpatient Revenue - FT Day - Westbury - (Westbury, NY)

Job details Functions as a liaison between the physicians' and ancillary departments regarding the instruction of regulatory guidelines. Serves as an on-site resource for CPT-4 and ICD-9-CM coding, and charging issues. Responsible for in servicing clinical staff of changes (additions/deletions) that take place in the CDM. Liaison between physicians and ancillary departments regarding the instruction of regulatory guidelines. Encourages communication between departments to resolve coding and billing issues. Meets with hospital personnel, as needed, to review that regulatory changes are adhered to. Maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. Is familiar with APC coding and identifies front-end process improvement initiatives. Monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. Responsible for CDM Validation.